Individual
DEBI KOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 MONTANA WAY, GREEN RIVER, WY 82935-5918
(307) 875-1449
Mailing address
1805 MONTANA WAY, GREEN RIVER, WY 82935-5918
(307) 875-1449
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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