Individual
SHIRLA MARIE LOUTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
201 E 2ND ST, CASPER, WY 82601-2582
(307) 472-3327
Mailing address
431 S PENNSYLVANIA AVE, CASPER, WY 82609-2553
(307) 265-7970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
75
WY
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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