Robert Bragg, LAT

NPI #1225469661 in Jackson, Wyoming

Provider Information

NPI Number
1225469661
Entity Type
Individual
Name
Robert Bragg, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAT
Enumeration Date
Dec 11, 2013
Last Updated
Dec 11, 2013

Practice Location

Address
610 W BROADWAY AVE STE L1
State
Wyoming
ZIP Code
83001-8213
Phone
(307) 733-3908

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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