Individual
LESLIE RAE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 N 10TH ST, LARAMIE, WY 82072-2207
(307) 399-0340
Mailing address
1265 N 10TH ST, LARAMIE, WY 82072-2207
(307) 399-0340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
10/07/2023
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