Individual
AMBER SOUTHARD-ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 COLUMBUS RD, PARKMAN, WY 82839-0388
(307) 655-9493
Mailing address
PO BOX 388, DAYTON, WY 82836-0388
(307) 655-9493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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