Individual
ANDREA MORONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 W HILL RD, LARAMIE, WY 82072-1961
(307) 399-5702
Mailing address
2110 W COFFMAN AVE, CASPER, WY 82604-3450
(307) 575-7222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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