Individual
TRACEY HEATHER HANLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2440 BELMONT RD, CASPER, WY 82604-4690
(307) 247-5337
Mailing address
2440 BELMONT RD, CASPER, WY 82604-4690
(307) 247-5337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
01/18/2013
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