Individual
MELISSA THERIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D.
Contact information
Practice address
5333 JENNY LK, CHEYENNE, WY 82009-3719
(307) 630-8418
Mailing address
5333 JENNY LK, CHEYENNE, WY 82009-3719
(307) 630-8418
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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