Individual
MRS. CASEY L WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPCC
Contact information
Practice address
118 AVENUE C, CLOQUET, MN 55720-1546
(218) 878-9352
Mailing address
118 AVENUE C, CLOQUET, MN 55720-1546
(218) 341-9632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC00672
MN
101YP2500X
Professional Counselor
Primary
CC00672
MN
Other
Enumeration date
11/26/2013
Last updated
01/25/2024
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