Individual
BARBARA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 ADAMS ST, AFTON, WY 83110
(307) 885-9883
(307) 885-5206
Mailing address
PO BOX 376, AFTON, WY 83110-0376
(307) 885-9883
(307) 885-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
WY-LCSW-936
WY
1041C0700X
Clinical Social Worker
PCSW-546
WY
Other
Enumeration date
09/20/2013
Last updated
11/19/2015
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