Individual
SHANNON N. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BEAUFORT ST APT 6, LARAMIE, WY 82072-1741
(315) 726-0399
Mailing address
720 BEAUFORT ST APT 6, LARAMIE, WY 82072-1741
(315) 726-0399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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