Individual
PAMELA SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 NORTH VAN NOY PARKWAY, THAYNE, WY 83127
(307) 883-4116
Mailing address
PO BOX 3423, ALPINE, WY 83128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-478
WY
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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