Individual
KARLA RUTH GANDIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
Mailing address
125 MAGNOLIA CIR, ROCK SPRINGS, WY 82901-4378
(307) 871-6239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-503
WY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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