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Contact Information

AUDREY N MATHSON, LCSW
925 W. BIRCH ST
GLENROCK, WY82637
 Phone: 307-436-9206
 Fax: 307-436-9730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for AUDREY N MATHSON · (Female)

NPI # 1477044261
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/29/2018
Last updated 01/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 1123
  • WY Medicaid 1041C0700X
  • WY Other 1123 LCSW
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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