Individual
MISS MISTIE DARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
(307) 277-7352
Mailing address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
(307) 277-7352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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