Individual
MRS. SARA JEANNE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 SKYLINE RD STE 101, LARAMIE, WY 82070-8909
(307) 460-2771
Mailing address
605 SKYLINE RD STE 101, LARAMIE, WY 82070-8909
(307) 460-2771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1164
WY
Other
Enumeration date
06/11/2024
Last updated
06/18/2024
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