Organization
BRYAN BENJAMIN COLLINS III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN B COLLINS III MSW (CLINICAL THERAPIST)
(307) 472-9890
Entity
Organization
Contact information
Practice address
907 N POPLAR ST STE 183, CASPER, WY 82601-1304
(307) 472-9890
(307) 472-9891
Mailing address
907 N POPLAR ST STE 183, CASPER, WY 82601-1304
(307) 472-9890
(307) 472-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-524
WY
Other
Enumeration date
01/31/2014
Last updated
02/07/2014
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