Individual
SANDRA ANN WALLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
50 E LOUCKS ST STE 210, SHERIDAN, WY 82801-6335
(307) 673-9035
Mailing address
50 E LOUCKS ST STE 210, SHERIDAN, WY 82801-6335
(307) 673-9035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-630
WY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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