Theodore Weber Shoaf, MASTERS

NPI #1598134256 in Jackson, Wyoming

Provider Information

NPI Number
1598134256
Entity Type
Individual
Name
Theodore Weber Shoaf, MASTERS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
MASTERS
Enumeration Date
Sep 23, 2015
Last Updated
Sep 23, 2015

Practice Location

Address
3405 S WINDING TRAIL DR
State
Wyoming
ZIP Code
83001-9257
Phone
(307) 699-2685

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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