Most Relevant Information
Provider Data
| NPI Number: | 1003466350 |
| Provider Name: | SHELLY LYNN BARTH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
831 COUNTY ROAD 154
CARPENTER
WY
820549531
Practice Location Phone/Fax
| Phone: | 3076308344 |
| Fax: |
Provider Mailing Location
831 COUNTY ROAD 154
CARPENTER
WY
820549531
Provider Mailing Phone/Fax
| Phone: | 3076308344 |
| Fax: |