Most Relevant Information
Provider Data
| NPI Number: | 1003044744 |
| Provider Name: | JENNIFER MAE PICKETT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2009 |
| Last Updated: | 07/01/2009 |
Provider Practice Location
43 MILL IRON RD
LARAMIE
WY
820729400
Practice Location Phone/Fax
| Phone: | 3077610530 |
| Fax: |
Provider Mailing Location
43 MILL IRON RD
LARAMIE
WY
820729400
Provider Mailing Phone/Fax
| Phone: | 3077610530 |
| Fax: |