Individual
SEAN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 CENTER ST, EVANSTON, WY 82930-3383
(307) 789-0241
(307) 460-7222
Mailing address
PO BOX 1011, EVANSTON, WY 82931-1011
(307) 789-0241
(307) 460-7222
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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