Individual
HOPE PHELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW. LAT
Contact information
Practice address
420 DEANNE AVE, NEWCASTLE, WY 82701-2936
(307) 746-4456
(307) 746-4470
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-1144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-173
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106402907
—
WY
05
—
106402908
—
WY
Enumeration date
01/24/2007
Last updated
10/24/2017
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