Organization
STILLWATERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L. JORDAN MSW, LCSW (CLINICAL SOCIAL WORKER)
(307) 431-1317
Entity
Organization
Contact information
Practice address
316 N 10TH ST, WORLAND, WY 82401-2307
(307) 431-1317
Mailing address
408 S 23RD ST, WORLAND, WY 82401-3725
(307) 431-1317
(307) 347-2428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-451
WY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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