Provider Demographics
NPI:1568634558
Name:READ, DAYLE KIMBERLY (LCSW, LICSW, LIMHP)
Entity Type:Individual
Prefix:
First Name:DAYLE
Middle Name:KIMBERLY
Last Name:READ
Suffix:
Gender:F
Credentials:LCSW, LICSW, LIMHP
Other - Prefix:
Other - First Name:DAYLE
Other - Middle Name:K
Other - Last Name:READ-HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LICSW, LIMHP
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:WY
Mailing Address - Zip Code:82941-0092
Mailing Address - Country:US
Mailing Address - Phone:307-360-6236
Mailing Address - Fax:
Practice Address - Street 1:90 ORCUTT DRIVE
Practice Address - Street 2:OPTIONAL
Practice Address - City:PINEDALE
Practice Address - State:WY
Practice Address - Zip Code:82941-0092
Practice Address - Country:US
Practice Address - Phone:307-360-6236
Practice Address - Fax:307-460-7533
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical