Individual
CODY LOU TAUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 W MIDWEST AVE, CASPER, WY 82601-2477
(307) 577-4913
Mailing address
PO BOX 393, CASPER, WY 82602-0393
(307) 577-4913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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