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Individual

MRS. LISA MICHELLE COURTNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROVIDER

Contact information

Practice address
2508 CENTRAL AVE, CODY, WY 82414-9797
(307) 527-4616
Mailing address
PO BOX 2081, CODY, WY 82414-2081
(307) 527-4616

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
WY

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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