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1073268512
SUSANNA BIRD
CHEYENNE, WY
NPI
1073268512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-1109)
Enumeration Date
2022-02-14
Last Update Date
2022-11-07
Business Address
SUSANNA BIRD LCSW
314 E 21ST ST
CHEYENNE, WY 82001-3712
Phone number: 307-632-7619
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Mailing Address
SUSANNA BIRD LCSW
612 GRAMERCY DR
CHEYENNE, WY 82009-5910
Phone number: 801-362-0747
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