Individual
CADEN JOSHUA WIEDERSPAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 E HANCOCK ST APT 112, LARAMIE, WY 82072-2946
(307) 331-5979
Mailing address
2124 E HANCOCK ST APT 112, LARAMIE, WY 82072-2946
(307) 331-5979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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