Individual
GAYNELL DENISE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MAC
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(912) 536-1643
Mailing address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(912) 536-1643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004147
GA
Other
Enumeration date
12/28/2009
Last updated
01/06/2025
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