Individual
BAYLEE LYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 FRONT ST STE 103, EVANSTON, WY 82930-3475
(307) 444-5760
Mailing address
PO BOX 1003, MOUNTAIN VIEW, WY 82939-1003
(307) 747-7586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
06/18/2024
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