KC SANTISTEVAN

ROCK SPRINGS, WY
NPI1538610324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  PCSW-645)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- KC SANTISTEVAN MSW, PCSW
2001 DEWAR DR #270
ROCK SPRINGS, WY 82901-5773
Phone number: 435-764-5237
Mailing Address
-- KC SANTISTEVAN MSW, PCSW
3672 S 100 W
NIBLEY, UT 84321-7983
Phone number: 435-764-5237
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