Individual
KYMBRIA DIONNE MCCONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S MCCORD RD APT 128, HOLLAND, OH 43528-9426
(567) 900-8266
Mailing address
750 S MCCORD RD APT 128, HOLLAND, OH 43528-9426
(567) 900-8266
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
09/10/2024
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