Individual
SUSAN SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 N 4TH ST, LARAMIE, WY 82072-3131
(307) 223-1893
Mailing address
2188 RIVERSIDE DR, LARAMIE, WY 82070-6618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1144
WY
Other
Enumeration date
11/01/2019
Last updated
07/07/2022
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