Individual
SARAH BRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W PEARL AVE, JACKSON, WY 83001
(307) 733-4088
Mailing address
PO BOX 9494, JACKSON, WY 83002-9494
(307) 733-4088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1045
WY
Other
Enumeration date
12/14/2009
Last updated
03/29/2012
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