Individual
MS. BEVERLY NELLE TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 MOUNTAIN VILLAGE RD, APT. #J, EVANSTON, WY 82930-2169
(307) 679-1909
Mailing address
113 MOUNTAIN VILLAGE RD, APT #J, EVANSTON, WY 82930-2169
(307) 679-1909
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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