Individual
MICHELLE T BRUTSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1530 TRANQUILITY RD, CHEYENNE, WY 82009-2905
(307) 778-8629
Mailing address
1530 TRANQUILITY RD, CHEYENNE, WY 82009-2905
(307) 778-8629
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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