Individual
JENNIFER ROSE LEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 FARNUM ST STE 102, CASPER, WY 82609-4108
(307) 337-1304
(307) 337-1320
Mailing address
2831 ZION LN APT 201, CASPER, WY 82609-5136
(307) 315-2006
(307) 337-1320
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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