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Individual

NICOLE AHN BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
12/12/2013
Last updated
03/22/2017
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