Organization
KIMBERLY MAFFEI LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MAFFEI LCSW (MENTAL HEALTH THERAPIST)
(307) 399-0435
Entity
Organization
Contact information
Practice address
2020 E GRAND AVE STE 409, LARAMIE, WY 82070-4383
(307) 399-0435
Mailing address
911 SANDERS DR, LARAMIE, WY 82070-4650
(307) 399-0435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139989600
—
WY
05
—
212102600
—
WY
Enumeration date
02/01/2022
Last updated
02/01/2022
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