Individual
TAISSHIA BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W 5TH ST STE C, SHERIDAN, WY 82801-2749
(307) 674-5534
Mailing address
909 LONG DR STE C, SHERIDAN, WY 82801-3282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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