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1376874909
JAMIE M CLARKE
LARAMIE, WY
NPI
1376874909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WY 671)
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-01-21
Last Update Date
2017-06-29
Business Address
-- JAMIE M CLARKE MS PPC
1263 N 15TH ST
LARAMIE, WY 82072-2343
Phone number: 307-745-8915
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Mailing Address
-- JAMIE M CLARKE MS PPC
1263 N 15TH ST
LARAMIE, WY 82072-2343
Phone number: 307-745-8915
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