Staci Briscoe

NPI #1992427066 in Basin, Wyoming

Provider Information

NPI Number
1992427066
Entity Type
Individual
Name
Staci Briscoe
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 15, 2022
Last Updated
Sep 15, 2022

Practice Location

Address
110 S 7TH ST
City
Basin
State
Wyoming
ZIP Code
82410-5067
Phone
(307) 250-0722

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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