Stellamarie Blackmore

NPI #1083205017 in Cheyenne, Wyoming

Provider Information

NPI Number
1083205017
Entity Type
Individual
Name
Stellamarie Blackmore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Feb 2, 2021
Last Updated
Feb 2, 2021

Practice Location

Address
3120 OLD FAITHFUL RD
Address 2
STE 100
State
Wyoming
ZIP Code
82001-5890
Phone
(307) 221-2937

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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