Individual
GRACE MACKENZIE NEGRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 N 4TH ST STE 105, LARAMIE, WY 82072-2091
(307) 212-3284
Mailing address
407 S 8TH ST APT J, LARAMIE, WY 82070-3976
(406) 661-1029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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