Individual
RAMONA BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
2724 BRIARWOOD LN, ROCK SPRINGS, WY 82901-4352
(307) 362-0012
(307) 362-0013
Mailing address
2724 BRIARWOOD LN, ROCK SPRINGS, WY 82901-4352
(307) 362-0012
(307) 362-0013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-275
WY
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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