Individual
JESSICA MARIE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N KIEFFER ST, EDGERTON, WY 82635-5017
(307) 315-8468
Mailing address
PO BOX 225, EDGERTON, WY 82635-0225
(307) 315-8468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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