CHEYENNE AUTUMN HISSONG

MOREHEAD, KY
NPI1366000291
Former NameCHEYENNE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801104291)
Enumeration Date2019-06-05
Last Update Date2025-02-28
Business Address
CHEYENNE AUTUMN HISSONG
330 25TH STREET
MOREHEAD, KY 40351
Phone number: 866-233-1955
Mailing Address
CHEYENNE AUTUMN HISSONG
1939 S DIVISION AVE
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
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