Individual
JUSTINE WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 CAPITOL AVE # 423, CHEYENNE, WY 82001-4525
(307) 222-0704
Mailing address
1607 CAPITOL AVE # 423, CHEYENNE, WY 82001-4525
(307) 222-0704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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