Individual
JODI THORNHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CAMEL DR. STE. GG, PMB #154, GILLETTE, WY 82716-4974
(605) 381-7639
Mailing address
900 CAMEL DR. STE. GG, PMB #154, GILLETTE, WY 82716-4974
(605) 381-7639
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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