Individual
CHRISTINE VENCILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Mailing address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
675
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-1092
WY
Other
Enumeration date
10/24/2016
Last updated
10/12/2020
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