Individual
KATIE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 JACKSON ST, RICHMOND DALE, OH 45673-9722
(740) 804-6622
Mailing address
802 JACKSON ST, RICHMOND DALE, OH 45673-9722
(740) 804-6622
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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