Individual
MICHELLE MAE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 E PERISHING BLVD, CHEYENNE, WY 82001
(541) 272-2627
Mailing address
3168 GREEN VALLEY RD, CHEYENNE, WY 82001
(541) 272-2627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-967
WY
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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