Individual
TERRA DAYLE DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 OLEANDER ST, CASPER, WY 82604-3905
(307) 267-8878
Mailing address
1138 S CEDAR ST, CASPER, WY 82601-3524
(605) 630-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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