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Individual

MRS. LAUREN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., PCSW

Contact information

Practice address
2345 E 2ND ST, CASPER, WY 82609-2048
(307) 233-2200
(307) 233-2201
Mailing address
2345 E 2ND ST, CASPER, WY 82609-2048
(307) 233-2200
(307) 233-2201

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-532
WY

Other

Enumeration date
02/20/2013
Last updated
02/20/2013
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