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-- TORI FANCHER --

Individual Provider (NPI-1) Active

Case Manager/Care Coordinator

Provider Information

NPI Number
1407285190
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
20 PIONEER LN SUITE 201, JACKSON, WY, 830018177
Phone
(307) 733-7637
Fax
(307) 733-7675

Specialties & Taxonomies

Case Manager/Care Coordinator Primary

All Addresses

MAILING

PO BOX 4259

JACKSON, WY, 830014259

(307) 733-7637

LOCATION

20 PIONEER LN SUITE 201

JACKSON, WY, 830018177

(307) 733-7637