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Individual

KRISTA JEANNE WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
975 GILCHRIST ST, WHEATLAND, WY 82201-2931
(307) 322-8122
Mailing address
PO BOX 403, WHEATLAND, WY 82201-0403
(307) 331-8122

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW-309
WY
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CSW-309
WY
Enumeration date
07/01/2019
Last updated
06/22/2021
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