Individual
KEIRA L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 PALMER DR, LARAMIE, WY 82070-4680
(307) 275-6812
Mailing address
1126 PALMER DR, LARAMIE, WY 82070-4680
(307) 275-6812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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