Nicole Johnson

NPI #1346611332 in Cheyenne, Wyoming

Provider Information

NPI Number
1346611332
Entity Type
Individual
Name
Nicole Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Oct 15, 2015
Last Updated
Oct 15, 2015

Practice Location

Address
4708 VAN BUREN AVE
State
Wyoming
ZIP Code
82009-5645
Phone
(307) 214-3888

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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