Individual
CRYSTAL LEE GERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 FOX RUN RD, CHEYENNE, WY 82009-8390
(307) 631-8649
Mailing address
1532 FOX RUN RD, CHEYENNE, WY 82009-8390
(307) 631-8649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
07/16/2015
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