Individual
KAREN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Mailing address
1122 E SULLY ST, LARAMIE, WY 82072-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-614
WY
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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