Individual
AME WOODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S DIVISION ST, POWELL, WY 82435-2409
(307) 250-7512
Mailing address
1908 NEWTON AVE, CODY, WY 82414-4427
(307) 250-7512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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