Individual
MS. MAURICA RAE MEDDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 N LINCOLN ST, CASPER, WY 82601-2037
(307) 577-4913
(307) 577-4014
Mailing address
PO BOX 393, CASPER, WY 82602-0393
(307) 577-4913
(307) 577-4014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
11/20/2020
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