Individual
MELISSA GOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 GOODING ST. N, TWIN FALLS, ID 83301-6179
(208) 736-5048
Mailing address
62 S 350 W, JEROME, ID 83338-5346
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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