Individual
BRANDIE LEA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 7TH ST, EVANSTON, WY 82930-3537
(307) 789-0955
(307) 789-1902
Mailing address
219 7TH ST, EVANSTON, WY 82930-3537
(307) 789-0955
(307) 789-1902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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