Individual
THERESA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 347-6165
(307) 620-7677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1912
WY
174400000X
Specialist
—
—
Other
Enumeration date
09/28/2021
Last updated
06/16/2026
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