Individual
MS. AMANDA LABETH ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1430 WILKINS CIRCLE, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIRCLE, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-602
WY
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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