Individual
ALACIA SALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
3533 HYNDS BLVD, CHEYENNE, WY 82001-1003
(970) 985-9706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
836
WY
Other
Enumeration date
05/21/2012
Last updated
04/27/2013
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