MAIKE L TAN

PINEDALE, WY
NPI1386891430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-605)
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
Ms. MAIKE L TAN MSW LCSW
24 COUNTRY CLUB LANE
PINEDALE, WY 82941
Phone number: 307-367-2111
Mailing Address
Ms. MAIKE L TAN MSW LCSW
PO BOX 856
PINEDALE, WY 82941-0856
Phone number: 307-367-2111