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Individual

SUMMER DORNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2225 WEATHERBY AVE, ROCK SPRINGS, WY 82901-6841
(312) 835-0675
Mailing address
2225 WEATHERBY AVE, ROCK SPRINGS, WY 82901-6841

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
491353R
WA
103TS0200X
School Psychologist
7024
ID
103TS0200X
School Psychologist
Primary
77176
WY

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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