Individual
KRISTY HODDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 SPRINGS DR, APARTMENT 62, ROCK SPRINGS, WY 82901-4015
(307) 371-8771
Mailing address
PO BOX 3161, ROCK SPRINGS, WY 82902-3161
(307) 371-8771
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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