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Individual

CECELIA MIKESELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1815 DALEY ST, RAWLINS, WY 82301-5911
(307) 324-5899
Mailing address
PO BOX 911, RAWLINS, WY 82301-0911
(307) 320-7994

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW-166
WY
1041C0700X
Clinical Social Worker
Primary
CSW166
WY

Other

Enumeration date
10/12/2012
Last updated
03/15/2021
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