Kyle William Mcdermott, PROVIDER, OWNER

NPI #1295240067 in Evanston, Wyoming

Provider Information

NPI Number
1295240067
Entity Type
Individual
Name
Kyle William Mcdermott, PROVIDER, OWNER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training, Developmentally Disabled Services
Credential
PROVIDER, OWNER
Enumeration Date
Dec 2, 2017
Last Updated
Dec 2, 2017

Practice Location

Address
100 VALLEY VIEW AVE
State
Wyoming
ZIP Code
82930-2105
Phone
(307) 677-5119

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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