Individual
DANA FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S BROADWAY AVE STE 205, RIVERTON, WY 82501-4300
(307) 856-6991
(307) 222-0614
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 222-0614
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
03/21/2017
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