DELANE TIDZUMP

FORT WASHAKIE, WY
NPI1568810315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
-- DELANE TIDZUMP
#7 SHIPTON LANE
FORT WASHAKIE, WY 82514-0538
Phone number: 307-335-1169
Mailing Address
-- DELANE TIDZUMP
PO BOX 538
FORT WASHAKIE, WY 82514-0538
Phone number: 307-335-1169