DEMETRIA BALES MSW, LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1144613134- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, LCSW
- Status
- Active
Contact & Location
- Address
- 702 PLATINUM AVE, CODY, WY, 824143423
- Phone
- (307) 213-9954
- Fax
- (307) 275-9843
Specialties & Taxonomies
Social Worker, Clinical
License: OR #L12201
Social Worker, Clinical
Primary License: WY #LCSW-1276