Individual
MRS. ELLA LOUISE SUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 HERRINGTON DR, CASPER, WY 82604-3644
(307) 472-1812
Mailing address
3117 HERRINGTON DR, CASPER, WY 82604-3644
(307) 472-1812
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600301404
—
WY
Enumeration date
04/04/2007
Last updated
07/08/2007
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