Individual
STEPHANIE WENDLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 S SUMMIT ST., CASPER, WY 82601
(307) 251-7141
Mailing address
646 RIVER CROSS RD, CASPER, WY 82601-1748
(307) 333-2332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107435661
DRIVERS LICENSE
WY
Enumeration date
04/02/2018
Last updated
04/02/2018
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