Individual
DUSTIN WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1042
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/06/2022
Last updated
07/25/2022
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