Most Relevant Information
Provider Data
| NPI Number: | 1003543844 |
| Provider Name: | ALYSSA NICOLE BJORKQUIST |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | PCSW-1043 |
Most Important Dates
| Enumeration Date: | 08/02/2022 |
| Last Updated: | 08/02/2022 |
Provider Practice Location
1807 CAPITOL AVE STE 109
CHEYENNE
WY
820014558
Practice Location Phone/Fax
| Phone: | 3072566467 |
| Fax: |
Provider Mailing Location
1807 CAPITOL AVE STE 109
CHEYENNE
WY
820014558
Provider Mailing Phone/Fax
| Phone: | 3072566467 |
| Fax: |