Individual
CHASITY R CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 7TH AVE, DANNEBROG, NE 68831-3509
(308) 258-0580
Mailing address
1803 7TH AVE, DANNEBROG, NE 68831-3509
(308) 258-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
191435
NE
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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