Individual
MRS. JENNIFER LYNN GREENUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 S CENTER ST, STE 305, CASPER, WY 82601-2875
(307) 247-3901
Mailing address
PO BOX 51364, CASPER, WY 82605-1364
(307) 247-3901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-609
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-609
LCSW LICENSE
WY
Enumeration date
08/27/2009
Last updated
06/27/2016
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