Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C006377 | NC |
NPI | 1003057399 |
---|---|
Provider Name | Ms. Yohmina Kalei Kasey |
First Address | Jamestown, NC 27282-7711 |
Second Address | Greensboro, NC 27401-1512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 29/04/2013 |