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Individual

JAMIE R LASDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
690 S USHWY 89, SUITE 201, JACKSON, WY 83001-2703
(781) 254-0304
Mailing address
PO BOX 12703, JACKSON, WY 83002-2703
(781) 254-0304

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1200
WY
1041C0700X
Clinical Social Worker
43368
ID

Other

Enumeration date
05/11/2017
Last updated
09/18/2023
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