Individual
MICHAEL SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Mailing address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC746
WY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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