Individual
EDEN MARIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
113 S GILLETTE AVE, SUITE 203, GILLETTE, WY 82716-3740
(307) 685-6982
(307) 685-8054
Mailing address
113 GILLETTE AVE., SUITE 203, GILLETTE, WY 82716-3741
(307) 685-6982
(307) 685-8054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW 734
WY
Other
Enumeration date
07/14/2009
Last updated
10/01/2012
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