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Shauna M Ottley

Case Manager/Care Coordinator in Evanston, WY. Individual provider (NPI-1).

NPI number1407124373
StatusActive
Last updated in NPPESDec 7, 2011

Details

NPI
1407124373
Entity type
Individual (NPI-1)
Name
Shauna M Ottley
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 7, 2011
Last updated
Dec 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

350 City View Dr Ste 302
Evanston, WY 82930-5307

Phone 307-789-7915 · Fax 307-789-6009

Mailing address

350 City View Dr Ste 302
Evanston, WY 82930-5307

Phone 307-789-7915 · Fax 307-789-6009

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