Individual
JORDAN LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7750
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115232
TX
Other
Enumeration date
07/20/2024
Last updated
03/03/2025
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