Individual
EMILY LOUISE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
445 S GRANT ST, CASPER, WY 82601-2833
(307) 315-1774
Mailing address
445 S GRANT ST, CASPER, WY 82601-2833
(307) 315-1774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
258
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-1358
WY
Other
Enumeration date
10/21/2015
Last updated
08/22/2023
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