Individual
SHEALYNN AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 S 8TH ST, WORLAND, WY 82401-3922
(225) 963-0852
Mailing address
907 S 8TH ST, WORLAND, WY 82401-3922
(225) 963-0852
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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