Individual
KELLY ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 N 5TH ST, LARAMIE, WY 82072-2603
(307) 399-6232
Mailing address
757 N 5TH ST, LARAMIE, WY 82072-2603
(307) 399-6232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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