Individual
STEPHANIE AUTHEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(701) 774-4600
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1158
WY
Other
Enumeration date
12/04/2017
Last updated
10/25/2019
About Stedi
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