Individual
JENNIFER CASTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(216) 278-0288
Mailing address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(216) 278-0288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-93620
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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