Individual
MCKENZIE SUZANNE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W PEARL AVE, JACKSON, WY 83001-8409
(307) 734-6040
Mailing address
403 E BRADLEY ST, LARAMIE, WY 82072-3139
(207) 317-6729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1125
WY
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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