Individual
MANDIE LEA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8289 CEMETERY RD, LINGLE, WY 82223-8562
(307) 837-0138
Mailing address
8289 CEMETERY RD, LINGLE, WY 82223-8562
(307) 837-0138
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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