Individual
MR. BRANDON ROBERT DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
719 E 17TH ST, CHEYENNE, WY 82001-4711
(307) 509-0772
(307) 426-4133
Mailing address
719 E 17TH ST, CHEYENNE, WY 82001-4711
(307) 509-0772
(307) 426-4133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1008
WY
Other
Enumeration date
11/13/2014
Last updated
10/20/2016
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