Individual
JACI JO EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-200
WY
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/21/2010
Last updated
04/19/2012
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