Individual
CHARLENE L CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC CRC
Contact information
Practice address
12591 E COW HOLLOW RD, CASPER, WY 82636
(307) 337-6307
Mailing address
12591 E COW HOLLOW RD, EVANSVILLE, WY 82636-9701
(307) 337-6307
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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