Individual
MRS. SHANNON P. GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 E BROADWAY, JACKSON, WY 83001
(307) 732-1616
(307) 732-1191
Mailing address
PO BOX 1868, JACKSON, WY 83001-1868
(307) 732-1161
(307) 732-1191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-922
WY
171M00000X
Case Manager/Care Coordinator
—
WY
Other
Enumeration date
03/24/2010
Last updated
03/29/2024
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