Individual
ANNE CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ALLEGIANCE CIR, EVANSTON, WY 82930-3804
(307) 789-3710
(307) 789-0823
Mailing address
PO BOX 6005, EVANSTON, WY 82931-6005
(307) 789-3710
(307) 789-0823
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/16/2012
Last updated
03/27/2014
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