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Individual

CANDYCE MARIE PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31 DOUBLETREE, RIVERTON, WY 82501-9143
(307) 709-0341
Mailing address
31 DOUBLETREE, RIVERTON, WY 82501-9143
(307) 709-0341

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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