Individual
MR. ERIC G FERNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW CLINICAL SO
Contact information
Practice address
336 S JACKSON, CASPER, WY 82601
(307) 265-2555
(307) 237-1259
Mailing address
1704 MAPLE, CASPER, WY 82604
(307) 265-4879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW535
WY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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