Individual
HEATHER BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
114 N BENT ST, POWELL, WY 82435-2712
(307) 899-1047
(307) 464-3449
Mailing address
114 N BENT ST, POWELL, WY 82435-2712
(307) 899-1047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-912
WY
Other
Enumeration date
02/09/2015
Last updated
10/02/2021
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