KELLIE JO JENSEN

BUFFALO, WY
NPI1982837712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  lcsw-661)
Enumeration Date2009-08-27
Last Update Date2012-10-23
Business Address
-- KELLIE JO JENSEN lcsw
729 FORT ST
BUFFALO, WY 82834-2316
Phone number: 307-217-1311
Mailing Address
-- KELLIE JO JENSEN lcsw
729 FORT ST
BUFFALO, WY 82834-2316
Phone number: 307-217-1311
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