Individual
MARILYN BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
(307) 864-3139
Mailing address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
(307) 864-3139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130737100
—
WY
Enumeration date
04/19/2011
Last updated
06/17/2016
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