Individual
MS. TARA L KOBIELUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
3650 HARVEY PL LOT 126, CASPER, WY 82601-9624
(307) 333-2904
Mailing address
3650 HARVEY PL LOT 126, CASPER, WY 82601-9624
(307) 333-2904
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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