Provider Demographics
NPI:1104155613
Name:SNEED, MARIE
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:SNEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3917
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82717-3917
Mailing Address - Country:US
Mailing Address - Phone:307-682-9538
Mailing Address - Fax:
Practice Address - Street 1:1911 CHESTNUT CIR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-5308
Practice Address - Country:US
Practice Address - Phone:307-682-9538
Practice Address - Fax:307-682-9538
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator