Organization
WYOMING CHILD & FAMILY DEV. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK M BURDEN (EXECUTIVE DIRECTOR)
(307) 836-2751
Entity
Organization
Contact information
Practice address
126 NORTH WYOMING, GUERNSEY, WY 82214-0100
(307) 836-2751
Mailing address
PO BOX 100, 126 NORTH WYOMING, GUERNSEY, WY 82214-0100
(307) 836-2751
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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