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Individual

CLAY WILLIAM DOKKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PPC

Contact information

Practice address
400 S KENDRICK AVE, SUITE 204, GILLETTE, WY 82716-3848
(307) 685-7115
Mailing address
2716 SAGEBRUSH AVE, CHEYENNE, WY 82009-4437
(307) 287-5141

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1336
WY

Other

Enumeration date
01/12/2011
Last updated
08/07/2014
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