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Individual

MRS. JUDITH A. COBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
121 E GRAND AVE, SUITE 210, LARAMIE, WY 82070-3600
(307) 745-8335
Mailing address
121 E GRAND AVE, SUITE 210, LARAMIE, WY 82070-3600
(307) 745-8335

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP-837
WY

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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