Individual
DIANA PAULINE QUEALY-BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. WY LPC
Contact information
Practice address
3920 SWINGLE, CASPER, WY 82604
(307) 315-2536
Mailing address
PO BOX 235, CASPER, WY 82602-0235
(307) 277-6462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WY LPC 386
WY
Other
Enumeration date
06/10/2011
Last updated
02/21/2014
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