Individual
RACHEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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