MS. MYRA J. FORD, MA PPC PAT
Social Work at Deanne Ave, Newcastle, WY

License number
Wyoming PPC-221
Category
Social Work
Type
Professional
License number
Wyoming PAT 016
Category
Social Work
Type
Professional
License number
Wyoming LAT-299
Category
Social Work
Type
Addiction (Substance Use Disorder)
Address
Address
420 Deanne Ave, Newcastle, WY 82701
Phone
(307) 746-4456
(307) 746-4470 (Fax)
National Provider ID: 1619039120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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