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WINDI RA LABOUNTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106402907
WY
Enumeration date
10/26/2012
Last updated
07/18/2016
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