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Individual

LINDA KAY HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23272 NORTH CEDAR DR NORTH, ALCOVA, WY 82620-0088
(307) 251-2759
Mailing address
PO BOX 88, ALCOVA, WY 82620-0088
(307) 251-2759

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251C00000X
WY

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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