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Individual

AMY HIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-8051
(307) 688-5008
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-8051
(307) 688-5008

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-143
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83-0234097
WY
Enumeration date
10/21/2008
Last updated
06/29/2011
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