Alicia Burton
Case Manager/Care Coordinator in Evanston, WY. Individual provider (NPI-1).
NPI number1376903104
StatusActive
Last updated in NPPESMar 7, 2016
Details
- NPI
- 1376903104
- Entity type
- Individual (NPI-1)
- Name
- Alicia Burton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2016
- Last updated
- Mar 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | WY | Yes |
Practice location
419 4th StEvanston, WY 82930-3616
Phone 307-444-2582
Mailing address
419 4th StEvanston, WY 82930-3616
Phone 307-444-2582
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