Individual
MRS. TAMMY LYNN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6548 BOOT HILL RD, CASPER, WY 82604-9303
(307) 267-1681
Mailing address
6548 BOOT HILL RD, CASPER, WY 82604-9303
(307) 267-1681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1038
WY
Other
Enumeration date
03/14/2017
Last updated
04/08/2017
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