Individual
ALICIA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 4TH ST, EVANSTON, WY 82930-3616
(307) 444-2582
Mailing address
419 4TH ST, EVANSTON, WY 82930-3616
(307) 444-2582
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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