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Individual

CHARLES HERBERT SCHOENWOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4050 S POPLAR ST, CASPER, WY 82601-6103
(307) 251-4432
Mailing address
4050 S POPLAR ST, CASPER, WY 82601-6103
(307) 251-4432

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
04/22/2014
Last updated
05/23/2014
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