Individual
TAMMY VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 TOWNSEND, GILLETTE, WY 82716-3128
(307) 689-6310
Mailing address
615 TOWNSEND, GILLETTE, WY 82716-3128
(307) 689-6310
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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