Kym Frances Codallos, MSW,ACSW,LCSW,CPRP

NPI #1184756272 in Laramie, Wyoming

Provider Information

NPI Number
1184756272
Entity Type
Individual
Name
Kym Frances Codallos, MSW,ACSW,LCSW,CPRP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW,ACSW,LCSW,CPRP
Enumeration Date
Mar 12, 2007
Last Updated
Oct 12, 2022

Practice Location

Address
615 ROGER CANYON RD
State
Wyoming
ZIP Code
82072-8902
Phone
(209) 247-3686

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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