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Mrs. LISA MICHELLE COURTNEY -- Provider

Individual Provider (NPI-1) Active

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child

Provider Information

NPI Number
1194917203
Provider Type
Individual Provider (NPI-1)
Credentials
Provider
Status
Active

Contact & Location

Address
2508 CENTRAL AVE, CODY, WY, 824149797
Phone
(307) 527-4616

Specialties & Taxonomies

Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Primary License: WY #118701500

All Addresses

MAILING

PO BOX 2081

CODY, WY, 824142081

(307) 527-4616

LOCATION

2508 CENTRAL AVE

CODY, WY, 824149797

(307) 527-4616