Individual
TRISTAN THOMAS SANDOVAL-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, PCSW
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1290
WY
171M00000X
Case Manager/Care Coordinator
—
WY
Other
Enumeration date
05/28/2025
Last updated
03/19/2026
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