Individual
RACHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Mailing address
104 1/2 E ADAMS AVE, RIVERTON, WY 82501-4308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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