Individual
CHEYENNE LYN SYVERTSON-HAGESTUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
501 S CACHE STREET, JACKSON, WY 83001-8300
(307) 733-7946
Mailing address
PO BOX 2631, JACKSON, WY 83001-2631
(307) 733-7946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
801
WY
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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