Individual
THERESA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 S 7TH ST, WORLAND, WY 82401-3917
(307) 323-2521
Mailing address
616 S 7TH ST, WORLAND, WY 82401-3917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1093
WY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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