Dominic Hvizdak

NPI #1871965095 in Riverton, Wyoming

Provider Information

NPI Number: 1871965095
Entity Type: Individual
Name: Dominic Hvizdak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 27, 2015
Last Updated: Oct 27, 2015

Practice Location

Address: 107 S BROADWAY AVE
Address 2: 205
City: Riverton
State: Wyoming
ZIP Code: 82501-4300
Phone: (307) 851-3894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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