Roe, Shontay Marie
Roe, Shontay Marie is an sole proprietor health care provider with primary practice located at 109 Barrett Ave , Evanston WY 82930. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roe, Shontay Marie can be contacted via phone (307) 679-3854.Contact Information
Primary practice address
109 Barrett Ave
Evanston WY 82930
Phone: (307) 679-3854
Fax: (307) 789-4225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-1037 | Wyoming |
Profile Details
| NPI number | 1093142630 |
|---|---|
| LBN Legal business name | Roe, Shontay Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2013 |
| Last updated | May 27th, 2021 - about 5 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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