Individual
CASSIDY MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 DAUGHERTY RD, STOCKPORT, OH 43787-9312
(740) 541-1777
Mailing address
770 DAUGHERTY RD, STOCKPORT, OH 43787-9312
(740) 541-1777
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5801323
—
OH
Enumeration date
11/20/2020
Last updated
11/20/2020
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