Individual
MRS. BOBBIE JO COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 CRIMSON ST, WORLAND, WY 82401-4223
(307) 388-2060
Mailing address
1615 CRIMSON ST, WORLAND, WY 82401-4223
(307) 388-2060
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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