Individual
MELISSA MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
2161 COFFEEN AVE, SHERIDAN, WY 82801-5754
(307) 429-2229
Mailing address
PO BOX 6650, SHERIDAN, WY 82801-7102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1086
WY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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