Individual
CASSIDY CLEMMONS POPWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HAVEN DR, DOTHAN, AL 36301-2907
(334) 709-4024
Mailing address
112 HAVEN DR STE 2, DOTHAN, AL 36301-2908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-189703
AL
Other
Enumeration date
12/21/2021
Last updated
01/29/2025
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