DELANE TIDZUMP

Case Manager/Care Coordinator

Active Individual
NPI: 1568810315

Practice Address

#7 SHIPTON LANE
Fort Washakie, WY 82514

Phone: (307) 335-1169

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -
Peer Specialist 175T00000X No -

Frequently Asked Questions

NPI 1568810315 is the National Provider Identifier for DELANE TIDZUMP, a Case Manager/Care Coordinator provider located in Fort Washakie, WY. This NPI was enumerated on June 1, 2016.
DELANE TIDZUMP practices at #7 SHIPTON LANE, Fort Washakie, WY 82514.

Quick Facts

NPI
1568810315
Type
Individual
Enumerated
Jun 1, 2016
Last Updated
Jun 1, 2016

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