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General NPI Number Information
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NPI Number | 1437271632
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Entity Type | Organization
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Legal Business Name | WYOMING INSTITUTE FOR BETTER LIVING INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 123 W 1ST ST STE 760
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City | CASPER
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State | WY
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Zip | 82601-2485
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Country | US
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Telephone | 307-473-8010
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Fax | 307-472-5428
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Provider Business Mailing Address
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Address Line | 123 W 1ST ST STE 760
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City | CASPER
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State | WY
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Zip | 82601-2485
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Country | US
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Telephone | 307-473-8010
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Fax | 307-472-5428
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Authorized Official
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Title or Position | PRESIDENT
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Name | DON RANDALL MONSON
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Credential | MSW
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Telephone | 307-473-8010
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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 | LCSW267
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License Number State | WY
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