Individual
KALIE DOUBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6677
Mailing address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1026
WY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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