RAVEN COWARD

CHEYENNE, WY
NPI1053854703
Former NameRAVEN COWARD LONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WY  1311)
Enumeration Date2016-11-29
Last Update Date2024-04-15
Business Address
RAVEN COWARD LCSW
3746 CRIBBON AVE
CHEYENNE, WY 82001-1053
Phone number: 307-421-2890
Mailing Address
RAVEN COWARD LCSW
PO BOX 2751
CHEYENNE, WY 82003-2751
Phone number: 307-421-2890