Individual
MRS. LIANE PALISOUL MCILWAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3719 DOVER RD, CHEYENNE, WY 82001-1606
(307) 632-8911
(307) 433-0487
Mailing address
3719 DOVER RD, CHEYENNE, WY 82001-1606
(307) 632-8911
(307) 433-0487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/09/2007
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