Individual
MRS. JENNIFER VAZQUEZTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PLCSW
Contact information
Practice address
265 N 4TH ST, LARAMIE, WY 82072-3131
(307) 214-3535
Mailing address
1666 WESTVIEW DR, LARAMIE, WY 82070-6071
(307) 214-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1049
WY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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