Crystal Dawn Fry
Day Training, Developmentally Disabled Services in Evanston, WY. Individual provider (NPI-1).
NPI number1154237733
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1154237733
- Entity type
- Individual (NPI-1)
- Name
- Crystal Dawn Fry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2026
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
104 Cedar StEvanston, WY 82930-2605
Phone 307-679-9114
Mailing address
104 Cedar StEvanston, WY 82930-2605
Phone 307-679-9114
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