Individual
MRS. KATIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W PERSHING BLVD, CHEYENNE, WY 82001-2537
(307) 638-4625
Mailing address
821 W PERSHING BLVD, CHEYENNE, WY 82001-2537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255
WY
Other
Enumeration date
07/21/2016
Last updated
03/15/2017
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