Individual
MRS. RUTH ANN FRERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS HUMAN SERVICES
Contact information
Practice address
460 BRODIE ST, LANDER, WY 82520-3304
(307) 330-4107
Mailing address
460 BRODIE ST, LANDER, WY 82520-3304
(307) 330-4107
(307) 856-3742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/16/2017
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