Michael Alles, BSW
Social Worker, Clinical in Cheyenne, WY. Individual provider (NPI-1).
NPI number1720060692
StatusActive
Last updated in NPPESMar 19, 2014
Details
- NPI
- 1720060692
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Alles
- Credential
- BSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Mar 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW018 | WY | Yes |
Practice location
604 E 25th StCheyenne, WY 82001-3133
Phone 307-637-3953
Mailing address
604 E 25th StCheyenne, WY 82001-3133
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