Individual
SHANIA ROSE MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 S JEFFERSON ST APT 1, CASPER, WY 82601-5638
(307) 258-6742
Mailing address
2531 S JEFFERSON ST APT 1, CASPER, WY 82601-5638
(307) 258-6742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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