Individual
MRS. JAN JENSEN BRINKERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
253 EAST 2ND, POWELL, WY 82435-9239
(307) 254-1373
Mailing address
918 LANE 10, POWELL, WY 82435-9239
(307) 754-9795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
803
WY
Other
Enumeration date
10/16/2009
Last updated
01/11/2016
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