Individual
LINNAEA DESPAIN SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E 17TH ST STE 210, CHEYENNE, WY 82001-4543
(307) 996-7964
Mailing address
2297 CARINA CT, CHEYENNE, WY 82009-9757
(307) 996-7964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2055
WY
Other
Enumeration date
08/22/2022
Last updated
09/06/2022
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