Individual
MS. KAREN BETH COLCLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 PECK AVE., RIVERTON, WY 82501
(307) 733-7637
(307) 733-7675
Mailing address
PO BOX 4259, 140 EAST BROADWAY, JACKSON, WY 83001-4259
(307) 733-7637
(307) 733-7675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171MOOOOOX
WY
Other
Enumeration date
12/05/2011
Last updated
03/06/2012
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