Individual
LOREN WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204
Mailing address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1528
WY
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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