Individual
SUSAN ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
362 PATTON AVE, CHEYENNE, WY 82007-1183
(307) 275-2241
Mailing address
362 PATTON AVE, CHEYENNE, WY 82007-1183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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