Individual
MRS. AMANDA MCCOMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 E 18TH ST, CHEYENNE, WY 82001-5023
(307) 214-9513
Mailing address
2119 E 18TH ST, CHEYENNE, WY 82001-5023
(307) 214-9513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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