Individual
SUSAN KAY AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1277 N 15TH ST, LARAMIE, WY 82072
(307) 742-6222
(307) 742-9905
Mailing address
PO BOX 1304, LARAMIE, WY 82073
(307) 742-6222
(307) 742-9905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
583
WY
101YP2500X
Professional Counselor
LPC-583
WY
Other
Enumeration date
07/10/2007
Last updated
04/10/2012
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