Individual
ROXANNA M DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 E WENTWORTH ST, NEWCASTLE, WY 82701-2237
(402) 459-0065
Mailing address
26 E WENTWORTH ST, NEWCASTLE, WY 82701-2237
(402) 459-0065
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NE
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
08/17/2020
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