Individual
CASSIDY LACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 S GRANT ST, CASPER, WY 82601-2833
(307) 267-7183
Mailing address
413 S GRANT ST, CASPER, WY 82601-2833
(307) 267-7183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1091
WY
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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