Individual
MR. MICHAEL WAYNE PELLECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18753
MN
1041C0700X
Clinical Social Worker
Primary
392
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312188
BS OF WY
WY
Enumeration date
11/02/2006
Last updated
04/15/2011
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