Individual
CASSANDRA VONKROSIGK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MISSOURI VALLEY RD, SHOSHONI, WY 82649-8603
(307) 856-6331
Mailing address
75 MISSOURI VALLEY RD, SHOSHONI, WY 82649-8603
(307) 856-6331
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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