Individual
ELAWNA MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 E 3RD AVE, CHEYENNE, WY 82001-1412
(307) 365-8897
Mailing address
322 E 3RD AVE, CHEYENNE, WY 82001-1412
(307) 365-8897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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