Individual
LEWIS A SMIRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
640 E BROADWAY, JACKSON, WY 83001
(307) 733-2046
(307) 733-6289
Mailing address
PO BOX 2025, WILSON, WY 83014-2025
(303) 887-1976
(307) 733-6289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
PCSW-348
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-807
WY
Other
Enumeration date
08/16/2011
Last updated
08/14/2024
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