Individual
HEATHER JO MONTROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 E. 18TH STREET, CHEYENNE, WY 82001-5511
(307) 633-3044
(307) 633-7256
Mailing address
2600 E 18TH ST, CHEYENNE, WY 82001-5511
(307) 633-3044
(307) 633-7256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457593345
—
WY
01
—
LCSW 704
LICENSE
WY
Enumeration date
03/24/2009
Last updated
08/30/2012
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