Individual
JACQUELINE A SCHWALBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
(307) 864-3139
Mailing address
121 S 4TH ST, THERMOPOLIS, WY 82443-2634
(307) 864-3138
(307) 864-3139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108969204
—
WY
05
—
108969205
—
WY
Enumeration date
08/10/2012
Last updated
07/03/2014
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