Individual
LAUREL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S CENTER ST, CASPER, WY 82601-3730
(307) 333-1301
(307) 333-5436
Mailing address
815 S CENTER ST, CASPER, WY 82601-3730
(307) 333-1301
(307) 333-5436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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