Individual
KAYIN PRESIDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926095
CO
Other
Enumeration date
04/21/2017
Last updated
07/17/2019
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