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Organization

CASPER FAMILY CONNECTIONS

Active
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Organization

CASPER FAMILY CONNECTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARLEA COULTER (EXECUTIVE DIRECTOR)
(307) 233-2200
Entity
Organization

Contact information

Practice address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Mailing address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/07/2012
Last updated
10/12/2020
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