Individual
SANDRA L. HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 SOUTH 3RD ST EAST, COWLEY, WY 82420-0000
(307) 250-1484
Mailing address
135 EAST 3RD ST SOUTH, COWLEY, WY 82420-0000
(307) 250-1484
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
28740
WY
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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