Organization
TERESA JACOBS-CASTANO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JACOBS-CASTANO (OWNER)
(307) 755-1000
Entity
Organization
Contact information
Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
(307) 742-9717
Mailing address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
(307) 742-9717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 176
WY
Other
Enumeration date
06/30/2009
Last updated
03/21/2019
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