Individual
MR. MIKE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 CANYON AVE, CODY, WY 82414-4110
(307) 272-8085
Mailing address
927 CANYON AVE, CODY, WY 82414-4110
(307) 272-8085
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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