Individual
MICHELLE ANTONIE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 E H ST, TORRINGTON, WY 82240-2523
(307) 575-2885
Mailing address
2209 E H ST, TORRINGTON, WY 82240-2523
(307) 575-2885
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
10/20/2019
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