Individual
SUSAN FOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6097
(307) 233-6008
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6097
(307) 233-6008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-904
WY
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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