Individual
KYLE D TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. M.F.T.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
3012 OAKCREST DR, GILLETTE, WY 82718-5902
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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