Individual
ESTEVIA THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 HITCHING POST DR, GREEN RIVER, WY 82935-5783
(307) 872-3290
Mailing address
937 6TH ST, ROCK SPRINGS, WY 82901-5303
(307) 371-8590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CFY-1376
WY
Other
Enumeration date
11/12/2020
Last updated
08/20/2024
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