Individual
LEON EARLY CHAMBERLAIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 N POPLAR ST, CASPER, WY 82601-1378
(307) 261-5355
Mailing address
243 NATURAL BRIDGE RD, DOUGLAS, WY 82633-9237
(307) 358-5895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 298
WY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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