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Individual

ALYSE BURNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 HAWTHORNE AVE, CASPER, WY 82604-4973
(515) 344-9430
Mailing address
3600 HAWTHORNE AVE, CASPER, WY 82604-4973
(515) 344-9430

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
10/31/2022
Last updated
01/12/2023
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