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Individual

AMANDA NIVERSON

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) 638-8182
Mailing address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 638-8182

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1228
WY
171M00000X
Case Manager/Care Coordinator
WY

Other

Enumeration date
06/26/2023
Last updated
06/03/2025
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