Individual
DANTAE MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 CAPITOL AVE, CHEYENNE, WY 82001-4569
(307) 221-2937
Mailing address
1603 CAPITOL AVE, CHEYENNE, WY 82001-4569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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