Individual
SHAUNDRA K DRYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-896
WY
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/10/2014
Last updated
07/06/2015
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