Individual
MARY CECELIA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3621 WARREN AVE, CHEYENNE, WY 82001-1452
(701) 240-5391
Mailing address
3621 WARREN AVE, CHEYENNE, WY 82001-1452
(701) 240-5391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18488
ME
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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