Individual
ADRIANNA CUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
Mailing address
741 YALE AVE LOT 13, MANSFIELD, OH 44905-1576
(419) 544-6844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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