Individual
MILLIE MARIE BRAVO-GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
202 E 3RD AVE, CHEYENNE, WY 82001-1410
(307) 389-8078
Mailing address
2000 WESTLAND ROAD SUITE C, CHEYENNE, WY 82001
(307) 389-8078
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
WY
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
03/29/2012
Last updated
09/11/2017
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