Individual
MRS. DARYLENE L WADSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
501 BURMA AVE., GILLETTE, WY 82716-8271
(307) 688-5086
(307) 688-5015
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-5086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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