Individual
MRS. GWEN TREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 US HIGHWAY 20 S UNIT B, THERMOPOLIS, WY 82443-9512
(307) 272-1472
Mailing address
214 HWY 20 SO., THERMOPOLIS, WY 82443
(307) 272-1472
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
09/11/2025
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