Individual
ERICA COURTNEY EASTLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S BEECH ST, CASPER, WY 82601-3106
(307) 797-0504
Mailing address
515 S BEECH ST, CASPER, WY 82601-3106
(307) 797-0504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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