MARY HENNICKE

CHEYENNE, WY
NPI1831562404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  CSW-248)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
-- MARY HENNICKE CSW
821 W PERSHING BLVD
CHEYENNE, WY 82001-2537
Phone number: 307-638-4625
Mailing Address
-- MARY HENNICKE CSW
821 W PERSHING BLVD
CHEYENNE, WY 82001-2537
Phone number: 307-638-4625
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