Individual
MAKENNA LINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930-9260
(307) 789-4224
Mailing address
PO BOX 2910, EVANSTON, WY 82931-2910
(307) 789-4224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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