Individual
CAROLINE ESTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 FOREST VIEW DR, DRIGGS, ID 83422-5255
(307) 203-0555
Mailing address
PO BOX 9253, JACKSON, WY 83002-9253
(307) 203-0555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
12/29/2015
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