Individual
ROBIN J HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Mailing address
500 S 14TH ST, LARAMIE, WY 82070-4124
(307) 745-8997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
336
WY
104100000X
Social Worker
336
WY
1041C0700X
Clinical Social Worker
336
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336
STATE LICENSE
WY
Enumeration date
09/27/2011
Last updated
02/01/2012
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