Individual
MS. MARY MAUREEN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 S US HWY 89, JACKSON, WY 83001
(307) 739-1651
(307) 739-1651
Mailing address
PO BOX 9442, JACKSON, WY 83002-9442
(307) 739-1651
(307) 739-1651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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