# JENNIFER LYNN GREENUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104275353
- **Authorized official:** MRS. JENNFER LYNN GREENUP LCSW (OWNER)
- **Authorized official phone:** (307) 247-3901

## Contact information

- **Practice address:** 330 S CENTER ST, SUITE 305, CASPER, WY 82601-2840
- **Practice address phone:** (307) 277-6473
- **Practice address fax:** (888) 659-0934
- **Mailing address:** PO BOX 51364, CASPER, WY 82605-1364
- **Mailing address phone:** (307) 247-3901
- **Mailing address fax:** (888) 659-0934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 609 | WY | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 06/08/2016