Individual
TERESA R EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2620 COMMERCIAL WAY, SUITE 120, ROCK SPRINGS, WY 82901-4755
(307) 389-6579
Mailing address
2620 COMMERCIAL WAY, SUITE 120, ROCK SPRINGS, WY 82901-4755
(307) 389-6579
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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