Individual
MRS. CASSTINA LYNNE MAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 SUMAC ST, HAZARD, KY 41701-1018
(606) 233-4857
Mailing address
144 SUMAC ST, HAZARD, KY 41701-1018
(606) 233-4857
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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