Individual
LINDA DIANE BURHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1110 MAJOR AVE, RIVERTON, WY 82501-2342
(307) 856-6587
(307) 856-2668
Mailing address
1110 MAJOR AVE, RIVERTON, WY 82501-2342
(307) 856-6587
(307) 856-2668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1059
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-1059
WY
Other
Enumeration date
07/23/2015
Last updated
05/08/2018
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