Individual
DAKOTA RAEN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 N 19TH ST, LARAMIE, WY 82072-2342
(254) 217-0237
Mailing address
1158 N 19TH ST, LARAMIE, WY 82072-2342
(254) 217-0237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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