Individual
GENEVIEVE LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 4TH AVE E SPC 45, SHERIDAN, WY 82801-6256
(307) 683-7627
Mailing address
1116 4TH AVE E SPC 45, SHERIDAN, WY 82801-6256
(307) 683-7627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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