Individual
AMANDA MARIE MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3122 THOMES AVE, CHEYENNE, WY 82001-2552
(307) 514-0288
Mailing address
PO BOX 513, CHEYENNE, WY 82003-0513
(307) 331-0804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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