MALIK TREVON FREDERICK
Individual Provider (NPI-1)
Active
Case Manager/Care Coordinator
Provider Information
- NPI Number
1376425058- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2802 W C ST, TORRINGTON, WY, 822401834
- Phone
- (307) 532-0134
Specialties & Taxonomies
Case Manager/Care Coordinator
Primary
All Addresses
MAILING
2802 W C ST
TORRINGTON, WY, 822401834