KYM CODALLOS, MSW,ACSW,LCSW,CPRP

Social Worker - Clinical

Active Individual
NPI: 1184756272

Practice Address

615 ROGER CANYON RD
Laramie, WY 82072

Phone: (209) 247-3686

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 25688 (CA)

Frequently Asked Questions

NPI 1184756272 is the National Provider Identifier for KYM CODALLOS, MSW,ACSW,LCSW,CPRP, a Social Worker - Clinical provider located in Laramie, WY. This NPI was enumerated on March 12, 2007.
KYM CODALLOS, MSW,ACSW,LCSW,CPRP practices at 615 ROGER CANYON RD, Laramie, WY 82072.

Quick Facts

NPI
1184756272
Type
Individual
Enumerated
Mar 12, 2007
Last Updated
Oct 12, 2022

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