Delane Tidzump
NPI #1568810315 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1568810315
- Entity Type
- Individual
- Name
- Delane Tidzump
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Jun 1, 2016
Practice Location
- Address
- #7 SHIPTON LANE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0538
- Phone
- (307) 335-1169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Peer Specialist |
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