Individual
ABRAHIM GHADDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 N 4TH ST STE 105, LARAMIE, WY 82072-2091
(307) 212-3284
Mailing address
1575 N 4TH ST STE 105, LARAMIE, WY 82072-2091
(307) 212-3284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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