Individual
ROBERTA MULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
Mailing address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/15/2016
Last updated
08/31/2017
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