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Individual

CASSANDRA MAE WICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 W 9TH STREET, CASPER, WY 82601
(307) 215-1204
Mailing address
PO BOX 1791, 15 SAGE HILL ROAD, GLENROCK, WY 82637-1791
(307) 262-8389

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
WY
101YP2500X
Professional Counselor
Primary
LPC-2402
WY
101YP2500X
Professional Counselor
PPC-1391
WY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/29/2022
Last updated
03/19/2025
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