Individual
BETTY KESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 703-1111
Mailing address
700 STH 9TH APTB, LARAMIE, WY 82070-3908
(307) 760-6096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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