Individual
STEPHANIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MAIN STREET, SUNDANCE, WY 82729
(307) 283-3636
Mailing address
420 MAIN STREET, SUNDANCE, WY 82729
(307) 283-3636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1458
WY
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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