Individual
MISS STEPHANIE BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E 4TH ST, GILLETTE, WY 82716-4033
(073) 257-7180
(307) 257-7183
Mailing address
812 E 4TH ST, GILLETTE, WY 82716-4033
(307) 257-7180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
1153
WY
104100000X
Social Worker
5673
KS
1041C0700X
Clinical Social Worker
Primary
1153
WY
Other
Enumeration date
03/20/2009
Last updated
06/12/2024
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