NPI 1386331874

Marie Clair Willow, CPS

Practitioner Peer Specialist Riverton, WY

Practice location

Address: 450 S Federal Blvd, Riverton, WY 82501-4711
Phone: (307) 349-5045
Mailing address: PO Box 190, St Stephens, WY 82524-0190

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 108 (WY)

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Registry record

NPI: 1386331874
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2023
Record last updated: 24 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.