Individual
MRS. STACEY LEANN WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 CAPITOL AVE, CHEYENNE, WY 82001-3046
(307) 399-0427
Mailing address
2719 CAPITOL AVENUE, CHEYENNE, WY 82001
(307) 399-0427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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