Individual
JULIE ANNA SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1471 DEWAR DR, ROCK SPRINGS, WY 82901-5814
(307) 630-3466
Mailing address
608 A ST, ROCK SPRINGS, WY 82901-6108
(307) 389-8894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1207
WY
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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