Individual
CASIE PRODOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 SYKESVILLE RD, WESTMINSTER, MD 21157-8252
(443) 386-8852
Mailing address
3350 SYKESVILLE RD, WESTMINSTER, MD 21157-8252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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