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Organization

307 CASE MANAGEMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA JEAN STONE (CO-OWNER)
(307) 850-5119
Entity
Organization

Contact information

Practice address
715 E ROOSEVELT AVE # 3R, RIVERTON, WY 82501-3611
(307) 850-5119
Mailing address
715 E ROOSEVELT AVE # 3R, RIVERTON, WY 82501-3611
(307) 850-5119

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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