Individual
CRISSA ANN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 E 12TH ST, CASPER, WY 82601-4007
(307) 235-5097
Mailing address
2020 E 12TH ST, CASPER, WY 82601-4007
(307) 235-5097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1348
WY
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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