Individual
SUSAN SERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E 4TH ST, GILLETTE, WY 82716-4033
(307) 299-9989
Mailing address
812 E 4TH ST, GILLETTE, WY 82716-4033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1560
WY
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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