Individual
MS. JESSICA LEE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(540) 292-9750
Mailing address
1316 STONEGATE DR, SHERIDAN, WY 82801-4043
(540) 292-9750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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