Individual
JANNA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Mailing address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
963
WY
106H00000X
Marriage & Family Therapist
280
WY
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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