DORTHEA A CLARK

CHEYENNE, WY
NPI1154196665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WY  PPC-1416)
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
DORTHEA A CLARK MA in Mental Health
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797
Mailing Address
DORTHEA A CLARK MA in Mental Health
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-631-7381
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