Individual
MRS. STEPHANIE LIN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-099
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4798
(307) 426-4799
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4798
(307) 426-4799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
099
WY
101Y00000X
Counselor
CSW-099
WY
104100000X
Social Worker
Primary
CSW-099
WY
1041C0700X
Clinical Social Worker
CSW-099
WY
Other
Enumeration date
10/16/2006
Last updated
02/18/2021
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