Individual
MS. KARRI ELLEN PRIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2360 E PERSHING BLVD, -122, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7599
Mailing address
725 HARRISON AVE, LOVELAND, CO 80537-4630
(970) 669-2093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-269A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-269A
SOCIAL WORK LICENSE
WY
Enumeration date
07/15/2006
Last updated
07/08/2007
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