Individual
ERIC ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 W BRUNDAGE ST, SHERIDAN, WY 82801
(307) 674-1668
(307) 674-1667
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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