Kaile Mystique Widner, MSW

NPI #1649054578 in Delta, Colorado

Provider Information

NPI Number
1649054578
Entity Type
Individual
Name
Kaile Mystique Widner, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Aug 22, 2023
Last Updated
Aug 22, 2023

Practice Location

Address
115 GRAND AVE
City
Delta
ZIP Code
81416-2000
Phone
(970) 874-0464

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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