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Jessica Louise Carrillo-Goggles

Case Manager/Care Coordinator in Riverton, WY. Individual provider (NPI-1).

NPI number1821966862
StatusActive
Last updated in NPPESOct 29, 2025

Details

NPI
1821966862
Entity type
Individual (NPI-1)
Name
Jessica Louise Carrillo-Goggles
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 29, 2025
Certification date
Oct 29, 2025
Last updated
Oct 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–WYYes

Practice location

2255 Brunton Ct Ste A
Riverton, WY 82501-2822

Phone 307-851-4914

Mailing address

1413 Cowboy Ln
Riverton, WY 82501-8905

Phone 307-851-4914

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