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Individual

CASSIE L JUSTICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMS

Contact information

Practice address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 696-8700
(304) 696-8701
Mailing address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-1551
(740) 451-1554

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
23-965
WV

Other

Enumeration date
07/23/2019
Last updated
03/07/2024
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