Individual
KATHERINE BAXTER SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-7257
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-987
WY
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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