Individual
JARRED MATTHEW GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 W 1ST ST # 700B, CASPER, WY 82601-2481
(307) 577-0722
(307) 577-4256
Mailing address
PO BOX 2836, CASPER, WY 82602-2836
(307) 577-0722
(307) 577-4256
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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