Individual
MRS. DEDE L SIEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2723 W RENAUNA AVE, CASPER, WY 82601-9691
(307) 259-6331
Mailing address
PO BOX 982, MILLS, WY 82644-0982
(307) 259-6331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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