Individual
FELICIA RAIMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 IRON MOUNTAIN RD, CHEYENNE, WY 82009-9607
(307) 286-0029
Mailing address
3123 IRON MOUNTAIN RD, CHEYENNE, WY 82009-9607
(307) 286-0029
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/31/2016
Last updated
05/17/2016
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