Jesse A Mir, LCSW

NPI #1205663036 in Laramie, Wyoming

Provider Information

NPI Number
1205663036
Entity Type
Individual
Name
Jesse A Mir, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 16, 2024
Last Updated
Sep 16, 2024

Practice Location

Address
204 MCCOLLUM ST STE 201
State
Wyoming
ZIP Code
82070-5127
Phone
(973) 873-8432

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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