Individual
MELISSA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11055 E WAGON TRAIL RD, EVANSVILLE, WY 82636-9680
(307) 258-0511
Mailing address
11055 E WAGON TRAIL RD, EVANSVILLE, WY 82636-9680
(307) 258-0511
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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