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Organization

MOUNTAIN WEST SPEECH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE WILLIAMS SLP (MANAGING MEMBER)
(307) 399-2876
Entity
Organization

Contact information

Practice address
8957 KOOPER TRL, CHEYENNE, WY 82009-7935
(307) 399-2876
Mailing address
8957 KOOPER TRL, CHEYENNE, WY 82009-7935
(307) 399-2876

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014-000660467
STATE FILE NUMBER
WY
Enumeration date
04/18/2014
Last updated
04/18/2014
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