Individual
ANDY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7003 TUMBLEWEED DR APT D, CHEYENNE, WY 82009-1037
(307) 287-0201
Mailing address
7003 TUMBLEWEED DR APT D, CHEYENNE, WY 82009-1037
(307) 287-0201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WY
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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