Individual
MS. SHANNON COLLEEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 856-9281
Mailing address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 856-9281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
887
WY
1041C0700X
Clinical Social Worker
PCSW-515
WY
Other
Enumeration date
08/29/2012
Last updated
07/15/2021
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