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Individual

MRS. VICTORIA JEAN TELLEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
565 BROOKIE PATH, SHERIDAN, WY 82801-8921
(307) 752-7537
Mailing address
909 LONG DR STE A, SHERIDAN, WY 82801-3282
(307) 675-1805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1180
WY
251C00000X
Developmentally Disabled Services Day Training Agency
WY

Other

Enumeration date
10/05/2009
Last updated
07/15/2021
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