Olivia Thibodeaux
Case Manager/Care Coordinator in Wheatland, WY. Individual provider (NPI-1).
NPI number1407428246
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1407428246
- Entity type
- Individual (NPI-1)
- Name
- Olivia Thibodeaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1954 W Mariposa PkwyWheatland, WY 82201-3102
Phone 307-322-3190
Mailing address
510 W 29th StCheyenne, WY 82001-2760
Phone 307-426-4728
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All 20 Case Manager/Care Coordinator providers in Wheatland · All 187 providers in Wheatland
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