Individual
DEETTE LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
(307) 265-4480
Mailing address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
(307) 265-4480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-345
WY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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