Individual
NICOLE LYNN MARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 ILLINOIS ST, SHERIDAN, WY 82801-5234
(307) 461-1028
Mailing address
909 ILLINOIS ST, SHERIDAN, WY 82801-5234
(307) 461-1028
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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