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Individual

MR. KEVIN COREY GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., PMFT, PLMHP

Contact information

Practice address
1110 MAJOR AVE, RIVERTON, WY 82501-2342
(307) 856-6587
Mailing address
1110 MAJOR AVE, RIVERTON, WY 82501-2342
(307) 856-6587

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT#951
KS
106H00000X
Marriage & Family Therapist
PLMHP #8586
NE
106H00000X
Marriage & Family Therapist
Primary
PMFT #238
WY

Other

Enumeration date
04/29/2008
Last updated
01/12/2010
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