Individual
SHARON SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 PHOENIX AVE, GILLETTE, WY 82716-1936
(307) 682-2029
Mailing address
1507 PHOENIX AVE, GILLETTE, WY 82716-1936
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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