Individual
LARAE SUE STIBITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
121 E GRAND AVE STE 216, LARAMIE, WY 82070-3600
(307) 200-9421
Mailing address
121 E GRAND AVE STE 216, LARAMIE, WY 82070-3600
(307) 200-9421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1055
WY
Other
Enumeration date
11/04/2014
Last updated
07/21/2022
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