Individual
KYLIE MARIE GWIN
Active
Individual
KYLIE MARIE GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928473
CO
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1539982
CO
Other
Enumeration date
08/25/2022
Last updated
01/01/2025
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