Individual
JESSICA SIBEL MILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(073) 778-7550
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-35856
ID
104100000X
Social Worker
LMSW35856
ID
1041C0700X
Clinical Social Worker
Primary
4625
HI
Other
Enumeration date
12/18/2017
Last updated
02/12/2024
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