Individual
REBECCA JULETTE DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 W 1ST ST, SUITE 675, CASPER, WY 82601-2481
(307) 265-0304
Mailing address
11270 E. WAGON TRAIL ROAD, P.O. BOX 929, EVANSVILLE, WY 82636
(307) 234-6575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
12/19/2008
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