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General NPI Number Information
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NPI Number | 1235513268
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Entity Type | Individual
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Provider Name | CHELSEY CONLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 1110 MAJOR AVE
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City | RIVERTON
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State | WY
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Zip | 82501-2342
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Country | US
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Telephone | 307-856-6587
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 MAJOR AVE
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City | RIVERTON
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State | WY
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Zip | 82501
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Country | US
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Telephone | 307-856-6587
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PCSW-738
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-1198
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License Number State | WY
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