Individual
TAMMY MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WATER TREATMENT RD, RAWLINS, WY 82301
(307) 321-2938
Mailing address
PO BOX 371, SINCLAIR, WY 82334-0371
(307) 321-2938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
08/24/2015
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