Individual
BROOK ADRIENNE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 MARBLE AVE, CHEYENNE, WY 82001-1896
(307) 221-2784
Mailing address
4520 MARBLE AVE, CHEYENNE, WY 82001-1896
(307) 221-2784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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