Most Relevant Information
Provider Data
NPI Number: | 1003286816 |
Provider Name: | BRENNA NICHOLE GATIMU LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | LCSW-1076 |
Most Important Dates
Enumeration Date: | 10/06/2015 |
Last Updated: | 03/26/2019 |
Provider Practice Location
800 WERNER CT STE 322
CASPER
WY
826011325
Practice Location Phone/Fax
Phone: | 3072595657 |
Fax: |
Provider Mailing Location
800 WERNER CT STE 322
CASPER
WY
826011325
Provider Mailing Phone/Fax
Phone: | 3072595657 |
Fax: |