Individual
SHANNON ELLEN PERRITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 E 22ND ST, CHEYENNE, WY 82001-4065
(307) 871-7590
Mailing address
1602 E 22ND ST, CHEYENNE, WY 82001-4065
(307) 871-7590
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
05/11/2016
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