Individual
MRS. AMY JO BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7554
(307) 778-7369
Mailing address
4923 PHOENIX DR, CHEYENNE, WY 82001-6925
(307) 778-7554
(307) 778-7369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-371
WY
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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