JAN SCHAAD LCSW PC
Social Work at Pioneer Ave, Cheyenne, WY

License number
Wyoming 410
Category
Social Work
Type
Clinical
Owner
Name: JANICE A SCHAAD MSW LCSW
Title: PRESIDENT
Phone: (307) 630-4688
Address
Address
2622 Pioneer Ave, Cheyenne, WY 82001
National Provider ID: 1306896402
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jan Schaad, LCSW, PC

Cheyenne, WY

Status:
Inactive
Registration:
Aug 1, 2003
Inactive since:
Oct 10, 2010
Addresses:
PO Box 326, Cheyenne, WY 82003 (Physical)
2622 Pioneer Ave, Cheyenne, WY 82001 (Physical)
State ID:
2003-000453073
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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