Individual
AILEEN CANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 HIGHWAY 150 S, STE 2, EVANSTON, WY 82930-5377
(307) 789-0664
(307) 789-1902
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 789-1902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
10/26/2015
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