Individual
TIMOTHY RANDALL BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCSW
Contact information
Practice address
3322 STRAHAN PKWY, SHERIDAN, WY 82801-9162
(307) 672-2624
Mailing address
3322 STRAHAN PKWY, SHERIDAN, WY 82801-9162
(307) 672-2624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1176
WY
Other
Enumeration date
07/24/2024
Last updated
08/14/2024
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