Individual
MRS. SUSAN KAY KOLLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 SAINT MARY ST, CASPER, WY 82601-1227
(307) 234-1104
(307) 234-1104
Mailing address
1020 SAINT MARY ST, CASPER, WY 82601-1227
(307) 234-1104
(307) 234-1104
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
22036
WY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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