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Individual

MS. MARTI RENEE SALAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
508 E 17TH ST, CHEYENNE, WY 82001-4612
(307) 631-6901
Mailing address
5360 KENNEDY DR, CHEYENNE, WY 82001-6918
(307) 631-6901

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-445
WY

Other

Enumeration date
09/18/2005
Last updated
07/08/2007
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