Early Intervention Program
NPI #1104152388 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1104152388
- Entity Type
- Organization
- Organization Name
- Early Intervention Program
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Oct 23, 2009
- Last Updated
- Oct 23, 2009
Practice Location
- Address
- 90 ETHETE ROAD
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514
- Phone
- (307) 332-3516
Authorized Official
- Name
- MRS. SUE JEZEK, SLP
- Title
- DIRECTOR
- Phone
- (307) 332-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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