Individual
MR. MARK JAGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3991 STATE HIGHWAY 414, LYMAN, WY 82937-9014
(307) 786-2121
Mailing address
3991 STATE HIGHWAY 414, LYMAN, WY 82937-9014
(307) 786-2121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
364
WY
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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