Individual
CASEY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 CUTSHAW AVE, RICHMOND, VA 23230-3630
(804) 489-7364
Mailing address
4906 CUTSHAW AVE, RICHMOND, VA 23230-3630
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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