Charla Ricciardi
Case Management in Cheyenne, WY. Individual provider (NPI-1).
NPI number1679110738
StatusActive
Last updated in NPPESDec 6, 2019
Details
- NPI
- 1679110738
- Entity type
- Individual (NPI-1)
- Name
- Charla Ricciardi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2019
- Last updated
- Dec 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | WY | Yes |
Practice location
6329 Troyer DrCheyenne, WY 82007-9218
Phone 308-672-3755
Mailing address
6329 Troyer DrCheyenne, WY 82007-9218
Phone 308-672-3755
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