Individual
NACONA BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 W 11TH ST, SHERIDAN, WY 82801-2402
(307) 388-8379
Mailing address
610 W 11TH ST, SHERIDAN, WY 82801-2402
(307) 388-8379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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