Individual
LUCRETIA M MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
121 W 8TH ST, CHEYENNE, WY 82007-4132
(307) 757-7222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
WY
Other
Enumeration date
01/21/2010
Last updated
03/17/2018
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