| NPI | 1952648164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY E DONNINI Licensed Clinical Social Worker 307-235-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW 658) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |