Mary Sue Jacques MSW LCSW LAT

NPI 1699912105 - Counselor - 101Y00000X

NPI Details
NPI 1699912105
Gender Female
Enumeration Date 01/21/2009
Last Updated 01/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1430 WILKINS CIRCLE
CASPER WY, 82601, US
Phone (307) 237-9583
Fax (307) 265-7277
Business Location
1430 WILKINS CIRCLE
CASPER WY, 82601, US
Phone (307) 237-9583
Fax (307) 265-7277
Toxanomy
Taxonomy Code 101Y00000X
License State Wyoming
License Number LCSW#246
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According to our database, Mary Sue Jacques MSW LCSW LAT NPI is 1699912105, taxonomy code is 101Y00000X and license number is LCSW#246, license state is located at Wyoming. Mary Sue Jacques MSW LCSW LAT physically located at 1430 Wilkins Circle, Casper WY, 82601. NPI Number Mary Sue Jacques MSW LCSW LAT has the Individual type.

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1699912105 NPI number is provided on an as is basis without warranty of any kind. 1699912105 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Sue Jacques MSW LCSW LAT are for informational purposes only.