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Miss STEPHANIE BERENS

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1063653087
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
812 E 4TH ST, GILLETTE, WY, 827164033
Phone
(073) 257-7180
Fax
(307) 257-7183

Specialties & Taxonomies

Counselor, Mental Health
Social Worker License: KS #5673
Social Worker License: WY #1153
Social Worker, Clinical Primary License: WY #1153

All Addresses

LOCATION

812 E 4TH ST

GILLETTE, WY, 827164033

(073) 257-7180

MAILING

812 E 4TH ST

GILLETTE, WY, 827164033

(307) 257-7180