Individual
ELIZABETH DOLE-IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7357
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
536
WY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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