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1982837712
KELLIE JO JENSEN
BUFFALO, WY
NPI
1982837712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY lcsw-661)
Enumeration Date
2009-08-27
Last Update Date
2012-10-23
Business Address
-- KELLIE JO JENSEN lcsw
729 FORT ST
BUFFALO, WY 82834-2316
Phone number: 307-217-1311
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Mailing Address
-- KELLIE JO JENSEN lcsw
729 FORT ST
BUFFALO, WY 82834-2316
Phone number: 307-217-1311
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