Individual
RANDALL BEAUBOUEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2909 BENT AVE, CHEYENNE, WY 82001-2742
(307) 742-6222
(307) 742-9905
Mailing address
PO BOX 1304, LARAMIE, WY 82073-1304
(307) 742-6222
(307) 742-9905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
451
WY
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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