Individual
RENE MARIE DAVISON
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) 773-8112
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-970
WY
Other
Enumeration date
04/16/2019
Last updated
12/05/2022
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