Individual
AMANDA LENORE LOESSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1381 TAYLOR AVE, SHERIDAN, WY 82801-2328
(307) 763-2815
Mailing address
1381 TAYLOR AVE, SHERIDAN, WY 82801-2328
(307) 763-2815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BBH-LCSW-LIC-60036
MT
1041C0700X
Clinical Social Worker
1283
WY
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-60036
MT
Other
Enumeration date
09/02/2020
Last updated
09/30/2025
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