Individual
CYNTHEA BRONSON MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
Mailing address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMHW-075
WY
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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