NANCY ANN AXTHELM

CODY, WY
NPI1104019850
Other NameNANCY WALTERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WY  SP158)
Enumeration Date2007-08-24
Last Update Date2007-08-24
Business Address
Mrs. NANCY ANN AXTHELM CCCSLP
808 NORTH STREET
CODY, WY 82414-5213
Phone number: 307-527-7060
Mailing Address
Mrs. NANCY ANN AXTHELM CCCSLP
PO BOX 2901
CODY, WY 82414-5213
Phone number: 307-527-7060
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