Individual
MARA LANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
900 S FOREST DR, CASPER, WY 82609-2704
(307) 217-1685
Mailing address
900 S FOREST DR, CASPER, WY 82609-2704
(307) 672-8958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1882
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/01/2017
Last updated
03/05/2026
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