Individual
CHRISTY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3428 E 11TH ST, CHEYENNE, WY 82001-6335
(307) 635-2247
Mailing address
3428 E 11TH ST, CHEYENNE, WY 82001-6335
(307) 635-2247
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
05/28/2015
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