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Individual

RAVEN COWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3746 CRIBBON AVE, CHEYENNE, WY 82001-1053
(307) 421-2890
Mailing address
PO BOX 2751, CHEYENNE, WY 82003-2751
(307) 421-2890

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1311
WY

Other

Enumeration date
11/29/2016
Last updated
04/15/2024
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