Individual
MRS. TANYA L KNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2 HICKERSON ST, LANDER, WY 82520-9759
(307) 332-7415
(307) 335-7116
Mailing address
2 HICKERSON ST, LANDER, WY 82520-9759
(307) 332-7415
(307) 335-7116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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