Individual
ABBY BRUNSKI TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 N FALER AVENUE, PINEDALE, WY 82941
(307) 367-6236
Mailing address
PO BOX 862, PINEDALE, WY 82941-0862
(307) 723-8118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1285
WY
Other
Enumeration date
07/19/2023
Last updated
03/05/2025
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