Individual
MS. MARTHA CANDIDA MONTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 W 12TH ST, CASPER, WY 82601-3616
(307) 247-0801
Mailing address
737 W 12TH ST, CASPER, WY 82601-3616
(307) 247-0801
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
104100000X
WY
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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