Individual
CASEY M CHANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 JAVIT CT, AUSTINTOWN, OH 44515-2439
(330) 797-4050
Mailing address
104 JAVIT CT, AUSTINTOWN, OH 44515-2439
(330) 797-4050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1800470-TRNE
OH
104100000X
Social Worker
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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