Individual
KIM E FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 JULIE LN, POWELL, WY 82435-1632
(307) 271-7460
(307) 271-7460
Mailing address
76 ROAD 6RT, CODY, WY 82414-8873
(307) 899-2182
(307) 527-4210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAPA-025
WY
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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