Mary Boal, LAT, NCACII, BSW

NPI 1245622836 · on the registry since 2015

Practice

Address: 77 County Rd 109
Evanston, WY 82930
Phone: (307) 783-1088
Fax: (307) 783-1028
Organisation at this address: Choices , Alcohol, Drug & Behavioral Help Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming