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Individual

MRS. DIANA BLANCHE LENGKEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
917 GILCHRIST STREET, SUITE 2, WHEATLAND, WY 82201
(307) 359-3754
Mailing address
1040 DURANGO DR, DOUGLAS, WY 82633-3006
(307) 359-3754

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1330
WY
101Y00000X
Counselor
PPC-612
WY

Other

Enumeration date
10/12/2011
Last updated
07/30/2019
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