Organization
SOULY UNIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA CHYTKA (OWNER)
(307) 371-2479
Entity
Organization
Contact information
Practice address
3913 PEREGRINE ST, ROCK SPRINGS, WY 82901-3490
(307) 371-2479
Mailing address
3913 PEREGRINE ST, ROCK SPRINGS, WY 82901-3490
(307) 371-2479
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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