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1700177300
BEVERLY FACKRELL
EVANSTON, WY
NPI
1700177300
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Professional Name
BEV FACKRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC 1289)
Enumeration Date
2011-04-29
Last Update Date
2015-10-20
Business Address
-- BEVERLY FACKRELL LPC
177 WOODRIDGE LN
EVANSTON, WY 82930-4615
Phone number: 307-679-8765
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Mailing Address
-- BEVERLY FACKRELL LPC
190 OVERTHRUST ROAD
EVANSTON, WY 82930-4615
Phone number: 307-679-8765
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