Individual
MRS. HILARY VIOLET HOLLIHAN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2030 WYOMING DR, GREEN RIVER, WY 82935-5851
(307) 871-1534
Mailing address
2030 WYOMING DR, GREEN RIVER, WY 82935-5851
(307) 871-1534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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