Individual
GINA RENE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 426-4382
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 426-4382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1134
WY
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
09/07/2018
Last updated
05/16/2024
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