Individual
TERESA J JACOBS CASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LAT
Contact information
Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
(307) 742-9717
Mailing address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
(307) 742-9717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
176
WY
Other
Enumeration date
04/19/2007
Last updated
03/21/2019
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