Individual
MS. SUSAN MARIE LILJEGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 220, CODY, WY 82414-9309
(307) 578-2919
(307) 578-2920
Mailing address
424 YELLOWSTONE AVE, SUITE 220, CODY, WY 82414-9309
(307) 578-2919
(307) 578-2920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
35-123
WI
1041C0700X
Clinical Social Worker
Primary
614
WY
Other
Enumeration date
08/12/2005
Last updated
01/05/2010
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