Individual
KENNA J HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
121 HUNT AVE, EVANSTON, WY 82930-4909
(307) 679-5618
Mailing address
121 HUNT AVE, EVANSTON, WY 82930-4909
(307) 679-5618
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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