Individual
ANGEL JO RIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106049000
—
WY
05
—
106049008
—
WY
Enumeration date
01/21/2025
Last updated
01/21/2025
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