Individual
TAMMY CEAGLSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-5329
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-5329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW-231
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106402907
—
WY
05
—
106402908
—
WY
Enumeration date
08/29/2014
Last updated
08/29/2014
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