Individual
TESSA M FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
Mailing address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
427
WY
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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