Individual
CORRI SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Mailing address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-581
WY
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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