JERRY TYRONE SMITH

CHEYENNE, WY
NPI1356965719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WY  1154)
Enumeration Date2020-06-02
Last Update Date2020-06-02
Business Address
Mr. JERRY TYRONE SMITH PLPC
6818 PASADENA RD
CHEYENNE, WY 82009-2812
Phone number: 814-282-4045
Mailing Address
Mr. JERRY TYRONE SMITH PLPC
6818 PASADENA RD
CHEYENNE, WY 82009-2812
Phone number: 814-282-4045
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