Individual
GINA M COLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPA
Contact information
Practice address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
Mailing address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAPA-086
WY
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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