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1043384662
ERIC G FERNELIUS
CASPER, WY
NPI
1043384662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW535)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mr. ERIC G FERNELIUS MSW LCSW Clinical So
336 S JACKSON
CASPER, WY 82601
Phone number: 307-265-2555
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Mailing Address
Mr. ERIC G FERNELIUS MSW LCSW Clinical So
1704 MAPLE
CASPER, WY 82604
Phone number: 307-265-4879
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