Individual
MS. AMY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1575 N 4TH ST STE 103, LARAMIE, WY 82072-2091
(307) 760-2771
Mailing address
1158 FRONTERA DR, LARAMIE, WY 82072-5024
(307) 760-2771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1066
WY
Other
Enumeration date
05/31/2006
Last updated
12/01/2016
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