Individual
LORI WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2001 12TH ST, CODY, WY 82414-4606
(307) 587-4271
Mailing address
2001 12TH ST, CODY, WY 82414-4606
(307) 587-4271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1120
WY
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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