Individual
KAYLA C BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
1708 GRAY BLVD, NEWCASTLE, WY 82701-3130
(307) 746-8787
Mailing address
1708 GRAY BLVD, NEWCASTLE, WY 82701-3130
(307) 746-8787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1206
WY
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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