Unaccompanied Student Initiative

NPI #1639700750 in Cheyenne, Wyoming

Provider Information

NPI Number: 1639700750
Entity Type: Organization
Organization Name: Unaccompanied Student Initiative
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 28, 2020
Last Updated: Jan 28, 2020

Practice Location

Address: 910 W FOX FARM RD
City: Cheyenne
State: Wyoming
ZIP Code: 82007-2674
Phone: (307) 220-2391

Authorized Official

Name: TAMARA MOORE
Title: EXECUTIVE DIRECTOR
Phone: (307) 220-2391

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