Individual
MRS. MARY E OPITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12263 E HENRIE ROADWAY, EVANSVILLE, WY 82636-9611
(307) 234-8019
(307) 266-4347
Mailing address
12263 E. HENRIE RD, EVANSVILLE, WY 82636
(307) 234-8019
(307) 266-4347
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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