Individual
MRS. CATHERINE MARSHALL BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4424 COMANCHE DR, LARAMIE, WY 82072-7205
(307) 399-9153
Mailing address
4424 COMANCHE DR, LARAMIE, WY 82072-7205
(307) 399-9153
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251C00000X
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
WY
Enumeration date
10/01/2010
Last updated
10/01/2010
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