Individual
MS. LISA LYNNE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW CBIS
Contact information
Practice address
800 WERNER CT, SUITE 205E, CASPER, WY 82601-1326
(850) 274-7299
Mailing address
2045 LARAMIE AVE, CASPER, WY 82604-3003
(850) 274-7299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031
WY
1041C0700X
Clinical Social Worker
13189
FL
Other
Enumeration date
04/28/2015
Last updated
01/18/2017
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