Individual
MR. ZACHARY RON BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
301 S. FENWAY ST SUITE 201, CASPER, WY 82601
(307) 215-9870
Mailing address
301 S. FENWAY ST SUITE 201, CASPER, WY 82601
(801) 913-8019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1060-LCSW
WY
1041C0700X
Clinical Social Worker
PCSW #342
WY
Other
Enumeration date
03/25/2009
Last updated
01/28/2019
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