Individual
NOAMIE J NIEMITALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, CSW, MS
Contact information
Practice address
625 PAR DR, GILLETTE, WY 82718-7623
(307) 686-9116
Mailing address
625 PAR DR, GILLETTE, WY 82718-7623
(307) 660-1702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW-220
WY
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
02/15/2023
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