Individual
LARS MICHAEL FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W SUNSET DR, RIVERTON, WY 82501-2256
(307) 856-9491
Mailing address
121 N 5TH ST W, RIVERTON, WY 82501-3453
(307) 856-9407
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
PTSB36486
WY
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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