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NPI 1245708692

NPI 1245708692 : BEAR PAW FAMILY COUNSELING LLC : CASPER, WY

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General NPI Number Information
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    NPI Number           |    1245708692
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEAR PAW FAMILY COUNSELING LLC 
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Dates
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    Enumeration Date     |    11/04/2018
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    907 N POPLAR ST STE 183 
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82601-1304
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    Country              |    US
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    Telephone            |    307-262-0349
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2772 LAREDO WAY 
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82609-3939
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    Country              |    US
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    Telephone            |    307-262-0349
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EMILY  NORRIS 
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    Credential           |    
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    Telephone            |    307-262-0347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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