Individual
MRS. MICHELLE CRISTINE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 E 12TH ST, CASPER, WY 82601-4004
(307) 577-5718
(301) 577-5716
Mailing address
1434 S MELROSE ST, CASPER, WY 82601-3973
(573) 247-4413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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