Individual
MRS. TRACY MARIE DESCHAMPE SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N MONTANA AVE, CASPER, WY 82609-1706
(307) 461-3392
Mailing address
102 N MONTANA AVE, CASPER, WY 82609-1706
(307) 461-3392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
10/28/2021
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