Individual
FANTASIA MARIE BRASMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601, CASPER, WY 82601
(307) 247-3901
Mailing address
1430 WILKINS CIR, CASPER, WY 82601, CASPER, WY 82601-3443
(307) 253-9067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1282
WY
Other
Enumeration date
05/21/2020
Last updated
03/11/2022
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