Individual
GENA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 177, EVANSTON, WY 82931-0177
(307) 444-0709
(307) 789-7373
Mailing address
PO BOX 177, EVANSTON, WY 82931-0177
(307) 444-0709
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1560
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/06/2019
Last updated
05/03/2024
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