Individual
MICHELLE RAE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 E GARFIELD ST STE C, LARAMIE, WY 82070-4893
(307) 742-6572
Mailing address
2523 E GARFIELD ST STE C, LARAMIE, WY 82070-4893
(307) 742-6572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121896400
—
WY
Enumeration date
04/26/2007
Last updated
11/12/2025
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