Individual
STEPHEN PALADINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 GREASEWOOD ST, GREEN RIVER, WY 82935-4722
(307) 922-4618
Mailing address
360 GREASEWOOD ST, GREEN RIVER, WY 82935-4722
(307) 922-4618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
12/15/2021
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