Kylie Rae Boardman

NPI #1134658008 in Laramie, Wyoming

Provider Information

NPI Number: 1134658008
Entity Type: Individual
Name: Kylie Rae Boardman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 5, 2017
Last Updated: Jun 5, 2017

Practice Location

Address: 1575 N 4TH ST STE 103
City: Laramie
State: Wyoming
ZIP Code: 82072-2091
Phone: (307) 721-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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