Individual
SHANNEN NICOLE GARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 N AVENUE C4, CHEYENNE, WY 82007-2506
(307) 631-1339
Mailing address
404 N AVENUE C4, CHEYENNE, WY 82007-2506
(307) 631-1339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2018
Last updated
09/25/2021
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