Individual
MELANIE JOY BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 N 19TH ST, LARAMIE, WY 82072-2342
(130) 776-0296
(307) 760-2967
Mailing address
1158 N 19TH ST, LARAMIE, WY 82072-2342
(307) 703-0216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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