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Organization

NORTHEAST WYOMING BOCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE L WALSH (BUSINESS MANAGER)
(307) 682-0231
Entity
Organization

Contact information

Practice address
410 N MILLER AVE, GILLETTE, WY 82716-2929
(307) 682-0231
(307) 686-7628
Mailing address
410 N MILLER AVE, GILLETTE, WY 82716-2929
(307) 682-0231
(307) 686-7628

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
124
WY

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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