Individual
AMY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1541 DIAMOND DR, CASPER, WY 82601-6247
(307) 259-7105
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1005
WY
Other
Enumeration date
08/13/2014
Last updated
06/12/2019
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