NPI 1265427868

Ebon Scott Alley, LICSW

Practitioner Social Worker Fe Warren Afb, WY

Practice location

Address: 6900 Alden Dr 90 Mdg, Fe Warren Afb, WY 82005-3906
Phone: (307) 773-2998
Fax: (307) 773-4721
Mailing address: 7924 Siringo Pass, Austin, TX 78749-2727

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 11902 (MA)

Other Social Worker providers in Wyoming →

Registry record

NPI: 1265427868
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2005
Record last updated: 9 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.