Individual
CHRISSY MICHAEL DEAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W WARLOW DR APT 309, GILLETTE, WY 82716-2586
(307) 620-5598
Mailing address
1700 W WARLOW DR APT 309, GILLETTE, WY 82716-2586
(307) 620-5598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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