Individual
MRS. SHAUNA KAYE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
649 MICHAEL DR, SHERIDAN, WY 82801-2920
(307) 672-6001
Mailing address
649 MICHAEL DR, SHERIDAN, WY 82801-2920
(307) 672-6001
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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