Individual
KATHY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPSW
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6680
Mailing address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#PCSW-200
WY
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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