Individual
MR. KARL ERIC JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
PO BOX 6848, SHERIDAN, WY 82801-7107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW #404
WY
Other
Enumeration date
12/18/2006
Last updated
09/20/2013
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