Individual
SARA MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 N BENT ST STE F, POWELL, WY 82435-2335
(307) 250-7205
Mailing address
560 ROAD 11, POWELL, WY 82435-9718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1545
WY
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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