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Individual

URSULA LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1997 LANE 9, POWELL, WY 82435-9546
(307) 754-3177
Mailing address
1997 LANE 9, POWELL, WY 82435-9546
(307) 754-3177

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
116663
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116663
WY
Enumeration date
08/24/2015
Last updated
08/24/2015
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