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Individual

MRS. KEIRA MARIE TRAUNTVEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
487A N MAIN ST, THAYNE, WY 83127
(307) 883-8877
(307) 883-8876
Mailing address
PO BOX 1143, AFTON, WY 83110-1143
(435) 671-8227

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-739
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139838500
WY
Enumeration date
04/02/2015
Last updated
05/10/2018
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