Individual
SUSAN RAE BIELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUSAN BIELSTEIN
Contact information
Practice address
1620 E LINCOLN AVE LOT 55, RIVERTON, WY 82501-3860
(605) 877-2660
Mailing address
1620 E LINCOLN AVE LOT 55, RIVERTON, WY 82501-3860
(605) 877-2660
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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