Individual
REBECCA LOGSDON-DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 HENDERSON DR STE N, CHEYENNE, WY 82001-5840
(307) 632-7993
(307) 632-1330
Mailing address
809 S 9TH ST, DOUGLAS, WY 82633-2959
(307) 632-7993
(307) 632-1330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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