Individual
CHELCY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3805
(307) 438-9618
Mailing address
511 N 12TH ST E, RIVERTON, WY 82501-3805
(307) 438-9618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1427
WY
Other
Enumeration date
11/03/2023
Last updated
12/12/2023
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