Individual
SUSY KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5000
Mailing address
501 S BURMA AVE, PO BOX 3011, GILLETTE, WY 82716-3426
(307) 688-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PCSW-370
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881730141
—
WY
Enumeration date
04/02/2009
Last updated
04/02/2009
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