Individual
MRS. SALLY LOU WISROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 W C ST, TORRINGTON, WY 82240-1604
(307) 532-7068
Mailing address
300 VALLEY VIEW DR, TORRINGTON, WY 82240-8304
(307) 532-7981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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