Individual
THERESA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 E 8TH ST, CHEYENNE, WY 82007-1617
(307) 399-0599
Mailing address
907 E 8TH ST, CHEYENNE, WY 82007-1617
(307) 399-0599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1099
WY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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