Individual
MARK SCHLEDEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2803 LINCOLN AVE, CODY, WY 82414-9813
(307) 202-3452
Mailing address
2803 LINCOLN AVE, CODY, WY 82414-9813
(307) 202-3452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PCSW-618
WY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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