Boal, Mary Hansen
Boal, Mary Hansen is an individual health care provider with primary practice located at 77 County Rd 109 , Evanston WY 82930-2543. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boal, Mary Hansen can be contacted via phone (307) 783-1088.Contact Information
Primary practice address
77 County Rd 109
Evanston WY 82930-2543
Phone: (307) 783-1088
Fax: (307) 783-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAT-195 | Wyoming |
Profile Details
| NPI number | 1245622836 |
|---|---|
| LBN Legal business name | Boal, Mary Hansen |
| Credentials | LAT, NCACII, BSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2015 |
| Last updated | Feb 19th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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