Individual
KRISTIN COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(302) 212-3284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB640523
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
04/25/2024
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