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Organization

BROOKRIDGE COUNSELING SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA ANN REPASKY MSW, LCSW (OWNER/PROVIDER)
(307) 267-6779
Entity
Organization

Contact information

Practice address
145 S DURBIN ST STE 104, CASPER, WY 82601-2538
(307) 267-6779
(307) 333-0376
Mailing address
145 S DURBIN ST STE 104, CASPER, WY 82601-2538
(307) 267-6779
(307) 333-0376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760834642
WY
Enumeration date
12/26/2018
Last updated
02/04/2019
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