Individual
MR. SHANE GEORGE SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 E LOUCKS ST, SHERIDAN, WY 82801-4314
(307) 751-0723
Mailing address
370 E LOUCKS ST, SHERIDAN, WY 82801-4314
(307) 751-0723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2013
Last updated
10/19/2015
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