Individual
MISS LAURA LEA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
3850 NORTH WILDERNESS DR., WILSON, WY 83014
(307) 733-2810
(307) 733-8462
Mailing address
PO BOX 240, WILSON, WY 83014-0240
(307) 733-8210
(307) 733-8462
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SCHOOL PSYCH K-12
WY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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