ANDREA VIOLET WHITAKER

LOVELL, WY
NPI1033453444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WY  SP/CFY-622)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- ANDREA VIOLET WHITAKER M.S., CCC-SLP
435 E 5TH ST
LOVELL, WY 82431-1947
Phone number: 307-548-6722
Mailing Address
-- ANDREA VIOLET WHITAKER M.S., CCC-SLP
842 LANE 13
LOVELL, WY 82431-9523
Phone number: 307-548-6722