Individual
TAYLOR PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N 3RD ST STE F, LARAMIE, WY 82072-2538
(307) 292-1776
Mailing address
6202 MOCCASIN AVE, CHEYENNE, WY 82009-3418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WY
251B00000X
Case Management Agency
—
WY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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