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Organization

SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUCINDA KASPER (EXECUTIVE DIRECTOR)
(307) 875-0268
Entity
Organization

Contact information

Practice address
1715 HITCHING POST, GREEN RIVER, WY 82935-5783
(307) 875-0268
(307) 875-3805
Mailing address
1715 HITCHING POST, GREEN RIVER, WY 82935-5783
(307) 875-0268
(307) 875-3805

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106469000
WY
Enumeration date
04/19/2007
Last updated
10/26/2015
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