Provider Information for 1003286816
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Mrs. BRENNA NICHOLE GATIMU LCSW
Sex: Female
NPI: 1003286816
Last Updated: 2019-03-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003286816 | ||||||||
| Enumeration Date | 2015-10-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 800 WERNER CT STE 322 CASPER, WY 82601-1325 United States Phone: 307-259-5657 | Fax: | ||||||||
| Primary Practice Address | 800 WERNER CT STE 322 CASPER, WY 82601-1325 United States Phone: 307-259-5657 | Fax: | ||||||||
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