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Lillian Marie Wood

Behavior Technician in Laramie, WY. Individual provider (NPI-1).

NPI number1942038245
StatusActive
Last updated in NPPESJul 26, 2024

Details

NPI
1942038245
Entity type
Individual (NPI-1)
Name
Lillian Marie Wood
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 26, 2024
Certification date
Jul 26, 2024
Last updated
Jul 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1575 N 4th St Ste 105
Laramie, WY 82072-2091

Phone 307-212-3284

Mailing address

1575 N 4th St Ste 105
Laramie, WY 82072-2091

Phone 307-212-3284

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