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Individual

SUSAN BLAKE AMORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW, LPC

Contact information

Practice address
300 E 17TH ST, CHEYENNE, WY 82001
(307) 631-9931
(307) 635-7706
Mailing address
1914 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 631-9931
(307) 635-7706

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1725
WY
1041C0700X
Clinical Social Worker
235
WY

Other

Enumeration date
09/22/2014
Last updated
07/31/2018
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