SearchWyomingDevelopmentally Disabled Services Day Training Agency

Diane Matlock

NPI 1083032619 · on the registry since 2014 · sole proprietor

Practice

Address
3149 Green Valley Rd
Cheyenne, WY 82001
Phone
(307) 203-9125

Registry record

Primary taxonomy
Developmentally Disabled Services Day Training Agency
251C00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming