Individual
MISS ERIN ELISE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1269 E WOODLAND PARK RD, SHERIDAN, WY 82801-9155
(307) 202-2088
Mailing address
PO BOX 23, BIG HORN, WY 82833-0023
(307) 202-2088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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