Individual
VICKIE LYNN CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WV
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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