Individual
TERRIE JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 W 3RD ST, LOVELL, WY 82431-1627
(307) 272-1677
Mailing address
250 W 3RD ST, LOVELL, WY 82431-1627
(307) 272-1677
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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