Individual
MS. RUTH A. AMSBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
6978 RIVERVIEW RD, RIVERTON, WY 82501-9396
(307) 856-8170
Mailing address
6978 RIVERVIEW RD, RIVERTON, WY 82501-9396
(307) 856-8170
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT #0-55
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN83-032-57
TAX ID #
WY
Enumeration date
05/24/2007
Last updated
07/08/2007
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