Individual
MS. SUSAN JEAN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
3214 DEWAR DRIVE, #2, ROCK SPRINGS, WY 82901-4973
(307) 922-1420
Mailing address
3214 DEWAR DRIVE, #2, ROCK SPRINGS, WY 82901-4973
(307) 922-1420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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