Individual
MRS. ELIZA J KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1607 CAPITOL AVE FL THE2, CHEYENNE, WY 82001-4525
(307) 630-4729
Mailing address
PO BOX 20092, CHEYENNE, WY 82003
(307) 772-1415
(970) 522-4211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
WY874
WY
Other
Enumeration date
07/12/2012
Last updated
07/10/2018
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