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General NPI Number Information
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NPI Number | 1366868150
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Entity Type | Individual
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Provider Name | BRIANNE WOOLDRIDGE LPC-1589
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Gender | Female
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 120 N 4TH ST STE D
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City | SUNDANCE
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State | WY
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Zip | 82729-5033
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Country | US
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Telephone | 307-283-3898
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Fax | 307-283-3898
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Provider Business Mailing Address
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Address Line | 542 RUNNING W DR
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City | GILLETTE
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State | WY
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Zip | 82718-2074
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Country | US
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Telephone | 307-257-2331
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Fax | 307-670-8042
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC1589
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License Number State | WY
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