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1073769212
MIKAELA BERNTHALER
EVANSTON, WY
NPI
1073769212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WY 464)
Enumeration Date
2008-08-07
Last Update Date
2008-08-07
Business Address
-- MIKAELA BERNTHALER
50 ALLEGIANCE CIR
EVANSTON, WY 82930-3804
Phone number: 307-789-3710
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Mailing Address
-- MIKAELA BERNTHALER
PO BOX 6005
EVANSTON, WY 82931-6005
Phone number: 307-789-3710
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