Individual
TIFFANY RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 E 2ND ST, CASPER, WY 82609-2048
(307) 333-1301
Mailing address
634 W 14TH ST, CASPER, WY 82601-4129
(307) 277-9229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1517
WY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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