Individual
MS. KARLA JEAN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LAT
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310825
BS
—
Enumeration date
07/12/2005
Last updated
03/23/2015
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