Individual
KELSI MARIE LOVEJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5 MAGNOLA ST, PINEDALE, WY 82941
(307) 734-6040
Mailing address
PO BOX 122, PINEDALE, WY 82941-0122
(307) 360-7998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-1406
STATE OF WYOMING MENTAL HEALTH PROFESSIONAL LICENSING BOARD
WY
01
—
PCSW-855
PROVISIONAL CLINICAL SOCIAL WORKER
WY
Enumeration date
07/10/2019
Last updated
05/09/2023
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