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1902154081
MATTHEW DAVID BERTAGNOLE
CASPER, WY
NPI
1902154081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC-1329)
Enumeration Date
2012-08-21
Last Update Date
2013-03-19
Business Address
Mr. MATTHEW DAVID BERTAGNOLE LPC
2417 E 15TH ST
CASPER, WY 82609-2942
Phone number: 307-247-1168
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Mailing Address
Mr. MATTHEW DAVID BERTAGNOLE LPC
4921 RIMROCK DR
BAR NUNN, WY 82601-7703
Phone number: 307-247-1168
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