Individual
MELODIE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 BIRCH ST, DOUGLAS, WY 82633-2759
(307) 258-8847
Mailing address
1253 BIRCH ST, DOUGLAS, WY 82633-2759
(307) 258-8847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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