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Individual

KELLY LISABETH CLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPC

Contact information

Practice address
701 ANTLER DR, CASPER, WY 82601-1726
(661) 333-4544
Mailing address
4111 DEER RUN, CASPER, WY 82601-6029
(661) 333-4544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1573
WY

Other

Enumeration date
07/22/2025
Last updated
07/22/2025
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