Individual
PAMELA KATE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 674-4405
(307) 673-5167
Mailing address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 674-4406
(307) 673-5167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1175
WY
1041C0700X
Clinical Social Worker
PCSW 718
WY
1041C0700X
Clinical Social Worker
PCSW-566
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/28/2013
Last updated
09/26/2023
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