Individual
LAURA KIETELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1401 AIRPORT PKWY STE 210B, CHEYENNE, WY 82001-1541
(307) 240-2703
(307) 222-0279
Mailing address
1401 AIRPORT PKWY STE 210B, CHEYENNE, WY 82001-1541
(307) 240-2703
(307) 222-0279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
575
WY
Other
Enumeration date
09/19/2008
Last updated
11/22/2019
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