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Wade Matthew Brennan

Community Health Worker in Douglas, WY. Individual provider (NPI-1).

NPI number1780962001
StatusActive
Last updated in NPPESAug 3, 2011

Details

NPI
1780962001
Entity type
Individual (NPI-1)
Name
Wade Matthew Brennan
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2011
Last updated
Aug 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1841 Madora Ave
Douglas, WY 82633-3057

Phone 307-358-2846

Mailing address

1841 Madora Ave
Douglas, WY 82633-3057

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Other Community Health Worker providers in Douglas, WY

All 48 Community Health Worker providers in Douglas · All 293 providers in Douglas

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