Individual
MELINDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 3RD ST, COWLEY, WY 82420-2133
(307) 254-4934
Mailing address
535 N HAMILTON ST, POWELL, WY 82435-2133
(307) 254-4934
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
07/20/2016
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