Individual
BROOKE BODAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
(307) 742-6146
Mailing address
1800 EDINBURGH ST, RAWLINS, WY 82301-4506
(307) 324-8820
(307) 333-0261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/29/2015
Last updated
03/07/2018
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