Individual
MS. DORTHY BAKER KISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1114 LANE 12, LOVELL, WY 82431-9555
(307) 548-6543
(307) 548-6565
Mailing address
1114 LANE 12, LOVELL, WY 82431-9555
(307) 548-6543
(307) 548-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW #216
WY
Other
Enumeration date
05/21/2008
Last updated
04/28/2011
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