Individual
MS. MICHELE DOLORES DEHERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1800 EDINBURGH, RAWLINS, WY 82301
(307) 324-8820
(307) 333-0261
Mailing address
804 W PINE ST, RAWLINS, WY 82301-5434
(307) 321-3950
(307) 333-0261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221
MENTAL HEALTH LICENSE CSW
WY
Enumeration date
08/28/2013
Last updated
08/28/2013
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