Individual
ELLIE ROSE FINNEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 GREGORY LN, # 4, JACKSON, WY 83001-2299
(307) 734-6040
Mailing address
PO BOX 2299, JACKSON, WY 83001-2299
(307) 734-6040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
INTERN
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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