Individual
MISS MELISSA DAWN VUKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
558 EAST 2ND ST, POWELL, WY 82435
(307) 754-2231
(307) 754-9829
Mailing address
PO BOX 593, 100 PUSHROOT CT., LANDER, WY 82520-3460
(307) 856-4337
(307) 856-0851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP463
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
09/12/2007
Last updated
05/15/2017
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