Individual
BARBARA GOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 E BROADWAY, JACKSON, WY 83001
(307) 733-2046
(307) 733-6289
Mailing address
PO BOX 1868, JACKSON, WY 83001-1868
(307) 733-2046
(307) 733-6289
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WY
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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