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Individual

MS. JANICE A SCHAAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
2622 PIONEER AVE, CHEYENNE, WY 82001-3024
(307) 763-0468
(307) 637-2899
Mailing address
PO BOX 326, POB 326, CHEYENNE, WY 82003-0326
(307) 630-4688
(307) 637-2899

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
410
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123007700
WY
01
P00368425
MEDICARE RAILROAD
Enumeration date
05/13/2006
Last updated
04/04/2012
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