Jamie Elyse Busenbark, LCSW Valid NPI

Individual provider · Clinical Social Worker · Rock Springs, WY

NPI

1083914592

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-783 (WY)

Sex

Female

Sole proprietor

No

Enumerated

2010-10-31

Last updated

2013-07-19