Individual
TORI FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PIONEER LN, SUITE 201, JACKSON, WY 83001-8177
(307) 733-7637
(307) 733-7675
Mailing address
PO BOX 4259, JACKSON, WY 83001-4259
(307) 733-7637
(307) 733-7675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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