MR. Mark Jaggi, LCSW

NPI #1750446415 in Lyman, Wyoming

Provider Information

NPI Number
1750446415
Entity Type
Individual
Name
MR. Mark Jaggi, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3991 STATE HIGHWAY 414
City
Lyman
State
Wyoming
ZIP Code
82937-9014
Phone
(307) 786-2121

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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