Individual
WANDA NOFTSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
4 N CT, GILLETTE, WY 82716-9615
(307) 660-0319
Mailing address
4 N CT, GILLETTE, WY 82716-9615
(307) 660-0319
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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