Individual
KATHRYN SPRING WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA - PSYCHOLOGY
Contact information
Practice address
4401 CHANCERY LN, GILLETTE, WY 82718-7725
(903) 253-8272
Mailing address
4401 CHANCERY LN, GILLETTE, WY 82718-7725
(903) 253-8272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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