Individual
MS. SHONTAY MARIE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 BARRETT AVE, EVANSTON, WY 82930
(307) 679-3854
(307) 789-4225
Mailing address
109 BARRETT AVE, EVANSTON, WY 82930
(307) 679-3854
(307) 789-4225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1037
WY
Other
Enumeration date
09/27/2013
Last updated
05/27/2021
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