Individual
KATIE MARIE DONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 CANYON AVE, CODY, WY 82414-4110
(307) 899-1685
Mailing address
927 CANYON AVE, CODY, WY 82414-4110
(307) 899-1685
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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