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Individual

MS. JANET MARIE LASSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12451 HWY 1806 N, MOBRIDGE, SD 57601-5760
(605) 845-7181
(605) 845-5072
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-830
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-2342
MONTANA LCSW LICENSE BOARD
MT
01
LCSW-830
STATE LICENSURE
WY
Enumeration date
03/27/2013
Last updated
06/02/2021
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