Individual
JERRI DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
3304 E. I80 SERVICE RD, CHEYENNE, WY 82009
(307) 633-8040
Mailing address
3304 E. I80 SERVICE RD, CHEYENNE, WY 82009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
03/11/2014
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