Deherrera, Michele Dolores

Deherrera, Michele Dolores is an individual health care provider with primary practice located at 1800 Edinburgh , Rawlins WY 82301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deherrera, Michele Dolores can be contacted via phone (307) 324-8820.

Contact Information

Primary practice address
1800 Edinburgh Rawlins WY 82301
Phone: (307) 324-8820
Fax: (307) 333-0261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 221 Wyoming

Profile Details

NPI number 1093149965
LBN Legal business name Deherrera, Michele Dolores
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Aug 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093149965 NPPES
Wyoming Other 221 MENTAL HEALTH LICENSE CSW

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