Wilma Larvie, LAT
NPI #1407175516 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1407175516
- Entity Type
- Individual
- Name
- Wilma Larvie, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAT
- Enumeration Date
- May 28, 2010
- Last Updated
- May 28, 2010
Practice Location
- Address
- 28 BLACK COLE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0638
- Phone
- (307) 332-4758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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