# KIMBERLY MAFFEI LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124771910
- **Authorized official:** KIMBERLY MAFFEI LCSW (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (307) 399-0435

## Contact information

- **Practice address:** 2020 E GRAND AVE STE 409, LARAMIE, WY 82070-4383
- **Practice address phone:** (307) 399-0435
- **Mailing address:** 911 SANDERS DR, LARAMIE, WY 82070-4650
- **Mailing address phone:** (307) 399-0435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 02/01/2022