Individual
KELLY M NORWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 17 MILE RD, ARAPAHOE, WY 82510-9141
(307) 332-6471
(307) 332-6471
Mailing address
376 17 MILE RD, ARAPAHOE, WY 82510-9141
(307) 332-6471
(307) 332-6471
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115740000
—
WY
Enumeration date
02/01/2007
Last updated
07/09/2007
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