Most Relevant Information
Provider Data
NPI Number: | 1003481425 |
Provider Name: | JENIFER SLIDER |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/26/2021 |
Last Updated: | 05/26/2021 |
Provider Practice Location
431 MAIN ST
LANDER
WY
825203145
Practice Location Phone/Fax
Phone: | 3073322515 |
Fax: | 3073321640 |
Provider Mailing Location
PO BOX 1234
RIVERTON
WY
825010156
Provider Mailing Phone/Fax
Phone: | 3073322515 |
Fax: | 3073321640 |