Individual
LORETTA DEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 PINE ST, NEWCASTLE, WY 82701-2522
(307) 629-0139
(307) 746-9182
Mailing address
414 WALDEN AVE, NEWCASTLE, WY 82701-2114
(307) 629-0139
(307) 746-9182
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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