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1356651137
LISA KJERSTAD
GILLETTE, WY
NPI
1356651137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WY LPC-684)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
LISA KJERSTAD
7391 RIMROCK DR
GILLETTE, WY 82718-7162
Phone number: 307-685-4363
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Mailing Address
LISA KJERSTAD
7391 RIMROCK DR
GILLETTE, WY 82718-7162
Phone number:
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