Individual
MR. EVAN RAY DAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
PMB #333 970 WEST BROADWAY, SUITE E, JACKSON, WY 83001
(307) 732-3230
Mailing address
970 W BROADWAY PMB #333, SUITE E, JACKSON, WY 83001-9475
(307) 732-3200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
093
WY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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