Individual
AYLA ANTOINETTE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 E SHERIDAN ST, LARAMIE, WY 82070-4332
(307) 258-9786
Mailing address
2115 E SHERIDAN ST, LARAMIE, WY 82070-4332
(307) 258-9786
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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