Individual
DAWN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
124 DERR AVE, CHEYENNE, WY 82007-2355
(307) 752-0149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/07/2016
Last updated
07/07/2017
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