Individual
JENNIFER FLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1748 HACKAMORE RD, CHEYENNE, WY 82009-4581
(307) 286-0931
Mailing address
1748 HACKAMORE RD, CHEYENNE, WY 82009-4581
(307) 286-0931
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
11/02/2016
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