Individual
KASSANDRA MEDDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
10921 REED HARTMAN HWY STE 133, BLUE ASH, OH 45242-2851
(804) 577-3791
Mailing address
10921 REED HARTMAN HWY STE 133, BLUE ASH, OH 45242-2851
(513) 984-9838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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