Individual
STEPHANIE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 S CACHE ST, JACKSON, WY 83001-8693
(307) 733-7946
(307) 733-3417
Mailing address
510 S CACHE ST, P.O. BOX 2631, JACKSON, WY 83001-8693
(307) 733-7946
(307) 733-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-773
WY
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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