Individual
LORRENE DANNIELLE SANDBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 SCHULTZ ST, GREEN RIVER, WY 82935-5211
(307) 871-8121
Mailing address
511 SCHULTZ ST, GREEN RIVER, WY 82935-5211
(307) 871-8121
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
248071900
WY
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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