Individual
MS. ELAINE DOTY RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW , LCSW
Contact information
Practice address
2600 E 18TH ST, CHEYENNE, WY 82001-5511
(307) 637-1600
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 637-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2007000625
MO
1041C0700X
Clinical Social Worker
3605
KS
1041C0700X
Clinical Social Worker
Primary
LCSW-623
WY
Other
Enumeration date
04/11/2008
Last updated
03/17/2018
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