Lisa Jackson-Eldridge, MSW

NPI #1255949525 in Gillette, Wyoming

Provider Information

NPI Number: 1255949525
Entity Type: Individual
Name: Lisa Jackson-Eldridge, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 501 S BURMA AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3426
Phone: (307) 688-5029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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