Individual
MRS. AMY PITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
460 CACHE STREET, JACKSON, WY 83002
(307) 733-3638
Mailing address
PO BOX 10122, JACKSON, WY 83002-0122
(307) 733-3638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 351
WY
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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