Anne Carlsen
Case Manager/Care Coordinator in Evanston, WY. Individual provider (NPI-1).
NPI number1104179191
StatusActive
Last updated in NPPESMar 27, 2014
Details
- NPI
- 1104179191
- Entity type
- Individual (NPI-1)
- Name
- Anne Carlsen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2012
- Last updated
- Mar 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
50 Allegiance CirEvanston, WY 82930-3804
Phone 307-789-3710 · Fax 307-789-0823
Mailing address
Po Box 6005Evanston, WY 82931-6005
Phone 307-789-3710 · Fax 307-789-0823
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