Individual
STEPHANIE ANN MCMACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
(307) 514-0979
Mailing address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
(307) 514-0979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
730
WY
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
11/10/2014
Last updated
07/20/2022
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