Individual
MR. JOHN BRENDEN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW; LCSW
Contact information
Practice address
126 CRESTLINE AVE, CHEYENNE, WY 82009-4051
(307) 631-5049
Mailing address
126 CRESTLINE AVE, CHEYENNE, WY 82009-4051
(307) 631-5049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-075
WY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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