Individual
JENNIFER ELAINE CLOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E 1ST AVE, CHEYENNE, WY 82001-1404
(801) 520-3660
Mailing address
310 E 1ST AVE, CHEYENNE, WY 82001-1404
(801) 520-3660
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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