Organization
ACCREDITED CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE PETERSON M.ED. (OWNER)
(307) 267-7224
Entity
Organization
Contact information
Practice address
3440 E 19TH ST, CASPER, WY 82609-3552
(307) 266-2031
(307) 266-2032
Mailing address
3440 E 19TH ST, CASPER, WY 82609-3552
(307) 266-2031
(307) 266-2032
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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