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Individual

MRS. EMILY A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, CSW

Contact information

Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-8953
(307) 638-6805
Mailing address
4016 E 9TH ST, CHEYENNE, WY 82001-6651

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
312407
BS
WY
Enumeration date
07/12/2005
Last updated
07/08/2007
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