Individual
KAYLEIGH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
(307) 266-5155
Mailing address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
(307) 266-5155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
920
WY
Other
Enumeration date
05/30/2012
Last updated
09/27/2016
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