Individual
BROOKE KRIVICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W LOTT ST, BUFFALO, WY 82834-1642
(307) 684-5531
Mailing address
521 W LOTT ST, BUFFALO, WY 82834-1642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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