Maria B Grogan

NPI #1548887490 in Cheyenne, Wyoming

Provider Information

NPI Number: 1548887490
Entity Type: Individual
Name: Maria B Grogan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 3120 OLD FAITHFUL RD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5865
Phone: (307) 369-1410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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