Marti Jo Sidwell
NPI #1174982045 in Green River, Wyoming
Provider Information
- NPI Number
- 1174982045
- Entity Type
- Individual
- Name
- Marti Jo Sidwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 19, 2016
- Last Updated
- Sep 3, 2020
Practice Location
- Address
- 400 N 100 E
- Address 2
- SUITE 205
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935
- Phone
- (307) 362-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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