Individual
MRS. MACHELLE KAY STOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
815 E CARLSON ST, CHEYENNE, WY 82009-4209
(307) 514-4129
Mailing address
815 E CARLSON ST, CHEYENNE, WY 82009-4209
(307) 514-4129
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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