Individual
ANDREW JOSHUA COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Mailing address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1040
WY
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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