| Action Life Services, LLC | |
|
963 Fort St #4 Buffalo WY 82834-2424 | |
| (307) 217-2414 | |
| Not Available |
| Full Name | Action Life Services, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 963 Fort St, Buffalo, Wyoming |
| Authorized Official Name and Position | Dana L Wilson-hill (SOCIAL WORKER) |
| Authorized Official Contact | 3072172141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Life Services, LLC Po Box 1066 Buffalo WY 82834-1066 Ph: (307) 217-2414 | Action Life Services, LLC 963 Fort St #4 Buffalo WY 82834-2424 Ph: (307) 217-2414 |
| NPI Number | 1518206465 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518206465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
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