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1154986958
ELIZABETH KOUTRELAKOS
JACKSON, WY
NPI
1154986958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSw-1192)
Enumeration Date
2019-05-07
Last Update Date
2019-09-11
Business Address
ELIZABETH KOUTRELAKOS
320 E BROADWAY AVE
JACKSON, WY 83001
Phone number: 307-200-9882
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Mailing Address
ELIZABETH KOUTRELAKOS
755 E NEZ PERCE RD
JACKSON, WY 83001-9382
Phone number: 307-200-9882
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