Individual
TERRI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N FOREST DR LOT 16, CASPER, WY 82609-1924
(307) 267-3703
Mailing address
111 N FOREST DR LOT 16, CASPER, WY 82609-1924
(307) 267-3703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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