Individual
DR. MARIA L MORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.C.S.W.
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
367
WY
1041C0700X
Clinical Social Worker
Primary
337
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310805
BS OF WY
WY
01
—
MH110
WINHEALTH PARTNERS
WY
Enumeration date
12/01/2005
Last updated
04/15/2011
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