Individual
KIRSTEN NICOLE LEEDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 N. DURBIN ST., SUITE 235, CASPER, WY 82602
(307) 265-2575
(307) 222-0614
Mailing address
152 N. DURBIN ST., SUITE 235, CASPER, WY 82602
(307) 265-2575
(307) 222-0614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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