Individual
JESSICA HARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 N 3RD ST, LANDER, WY 82520-2808
(307) 332-7825
(307) 332-7596
Mailing address
655 WOOD ST, LANDER, WY 82520-2147
(307) 214-5379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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