Individual
TENA P SLIZESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 E LINCOLNWAY, CHEYENNE, WY 82001-4703
(307) 640-6684
Mailing address
721 E LINCOLNWAY, CHEYENNE, WY 82001-4703
(307) 640-6684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-854
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
WY
Enumeration date
12/19/2019
Last updated
12/19/2019
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