Organization
ASHLEE MICKELSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE MICKELSON LCSW (OWNER/THERAPIST)
(307) 272-3515
Entity
Organization
Contact information
Practice address
504 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
Mailing address
610 S 5TH ST, LARAMIE, WY 82070-3720
(307) 272-3515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCSW-820
WY
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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