Individual
LARA CILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
1300 W. VALLEY SPRINGS ROAD, JACKSON, WY 83001
(307) 733-3971
Mailing address
PO BOX 4180, JACKSON, WY 83001-4180
(307) 733-3971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
966
WY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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