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