Individual
MS. MARGARET PENNY MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
420 S. JACKSON STREET, JACKSON, WY 83001
(307) 690-3014
Mailing address
PO BOX 6492, JACKSON, WY 83002-6492
(307) 690-3014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
356
WY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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