Individual
JORDAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E LEWIS ST APT 2, LARAMIE, WY 82072-3258
(701) 659-0955
Mailing address
601 E LEWIS ST APT 2, LARAMIE, WY 82072-3258
(701) 659-0955
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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