Individual
JESSICA IRENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 E 5TH ST, CASPER, WY 82601-3403
(307) 797-4535
Mailing address
1117 E 5TH ST, CASPER, WY 82601-3403
(307) 797-4535
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
07/31/2013
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