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Individual

SHARLEY HARTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1705 HAMILTON ST, DOUGLAS, WY 82633-2781
(307) 358-3502
Mailing address
1705 HAMILTON ST, DOUGLAS, WY 82633-2781
(307) 358-3502

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA-052
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLPA-052
WYOMING STATE BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
WY
Enumeration date
05/24/2022
Last updated
05/24/2022
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