Individual
MICHELLE M DUBOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.P.C.,N.C.C.
Contact information
Practice address
405 W BOXELDER RD, SUITE A-1, GILLETTE, WY 82718-5320
(307) 686-7779
(307) 686-9494
Mailing address
405 W BOXELDER RD, SUITE A-1, GILLETTE, WY 82718-5320
(307) 686-7779
(307) 686-9494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-412
WY
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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