Individual
MR. WILLIAM QUINN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
9711 MICHIGAN ST, CHEYENNE, WY 82009-9667
(307) 632-5607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305308
BS OF WY
WY
Enumeration date
11/21/2005
Last updated
07/08/2007
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