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Individual

KATI SIMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-989
WY
1041C0700X
Clinical Social Worker
172V00000X
Community Health Worker

Other

Enumeration date
11/12/2012
Last updated
02/09/2024
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