Individual
MRS. JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 4TH ST STE 11, RAWLINS, WY 82301-5664
(307) 324-5569
(307) 324-5326
Mailing address
PO BOX 2093, RAWLINS, WY 82301-2093
(307) 324-5569
(307) 324-5326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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