Provider Demographics
NPI:1407011216
Name:WILSON-HILL, DANA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:L
Last Name:WILSON-HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 FORT ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834-2424
Mailing Address - Country:US
Mailing Address - Phone:307-217-2414
Mailing Address - Fax:
Practice Address - Street 1:963 FORT ST UNIT 4
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-2424
Practice Address - Country:US
Practice Address - Phone:307-217-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical