SearchWyoming1041C0700X

Becky Clark, LCSW

NPI 1306806955 · on the registry since 2006 · sole proprietor

Practice

Address
1635 Pond View Ct
Sheridan, WY 82801
Phone
(207) 590-8477
Fax
(207) 518-9589

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming