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-- MATTHEW TY BARRUS -- LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1003100181
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
1106 JULIE LN, POWELL, WY, 824351632
Phone
(307) 271-7460

Specialties & Taxonomies

Social Worker, Clinical Primary License: WY #LCSW-582

All Addresses

MAILING

862 RISEN SON RD

POWELL, WY, 824358473

(307) 254-0575

LOCATION

1106 JULIE LN

POWELL, WY, 824351632

(307) 271-7460