Individual
MS. MALINDA RANEE TOLLEFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
50 SHOSHONE AVE, STE B, GREEN RIVER, WY 82935-5327
(307) 871-9415
Mailing address
440 IOWA AVENUE, GREEN RIVER, WY 82935-5610
(307) 871-9415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-682
WY
Other
Enumeration date
02/28/2008
Last updated
10/30/2020
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