Individual
ALICIA SELFRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5416 EDUCATION DR, CHEYENNE, WY 82009-4094
(307) 778-3675
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 286-0544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1353
WY
Other
Enumeration date
05/11/2016
Last updated
11/08/2024
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