Individual
CHARLOTTE DIPRISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.P.C.
Contact information
Practice address
140 E BROADWAY AVE, STE. B-13, JACKSON, WY 83001-8632
(307) 413-6528
Mailing address
140 E BROADWAY AVE, STE. B-13, JACKSON, WY 83001-8632
(307) 413-6528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-886
WY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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