Individual
BRIANNA WEDEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 N CLARK ST, POWELL, WY 82435-1915
(307) 754-7970
Mailing address
507 N CLARK ST, POWELL, WY 82435-1915
(307) 754-7970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
06/24/2020
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