Kellie Jo Jensen, LCSW

NPI #1982837712 in Buffalo, Wyoming

Provider Information

NPI Number
1982837712
Entity Type
Individual
Name
Kellie Jo Jensen, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 27, 2009
Last Updated
Oct 23, 2012

Practice Location

Address
729 FORT ST
State
Wyoming
ZIP Code
82834-2316
Phone
(307) 217-1311

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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