Individual
JAMIE M CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PPC
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
671
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/21/2010
Last updated
06/29/2017
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