Individual
MS. KACEY DIAN NECKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T.
Contact information
Practice address
1054 CHERRY BROOK DR, HARRISONBURG, VA 22802-9304
(540) 435-7023
Mailing address
1054 CHERRY BROOK DR, HARRISONBURG, VA 22802-9304
(540) 435-7023
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PGP-064117
VA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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