Individual
SHANNON KAMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
Mailing address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-647
WY
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
05/22/2015
Last updated
03/17/2018
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