Individual
TERESA D DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 EAGLE DR, SHERIDAN, WY 82801-9664
(307) 763-6306
Mailing address
33 EAGLE DR, SHERIDAN, WY 82801-9664
(307) 763-6306
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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