Individual
CHEYENNE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 E 18TH ST APT 1127, CASPER, WY 82609-3683
(307) 851-5075
Mailing address
3840 E 18TH ST APT 1127, CASPER, WY 82609-3683
(307) 851-5075
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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