Individual
MISS JESSICA L DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCSW
Contact information
Practice address
4422 E 25TH ST, CASPER, WY 82609-3885
(307) 277-0132
Mailing address
4422 E 25TH ST, CASPER, WY 82609-3885
(307) 277-0132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CSW-179
WY
104100000X
Social Worker
Primary
PCSW-1154
WY
Other
Enumeration date
06/08/2010
Last updated
05/20/2024
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