Individual
HALLIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 S CENTER ST, CASPER, WY 82601-4242
(307) 267-1773
Mailing address
1225 S CENTER ST, CASPER, WY 82601-4242
(307) 267-1773
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083100
—
WY
Enumeration date
08/06/2019
Last updated
08/06/2019
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