Individual
MRS. AMANDA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930-9260
(307) 789-4224
Mailing address
190 OVERTHRUST RD, EVANSTON, WY 82930-9260
(307) 789-4224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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