Individual
MR. TIERNAN MCILWAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
821 W PERSHING BLVD, CHEYENNE, WY 82001-2537
(307) 421-9329
Mailing address
3719 DOVER RD, CHEYENNE, WY 82001-1606
(307) 632-8911
(307) 433-0487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-1666
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
04/27/2024
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