Individual
KIM ANN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2959 WS HWY 154, VETERAN, WY 82243
(307) 620-1798
Mailing address
2959 WS HWY 154, VETERAN, WY 82243
(307) 620-1798
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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