Individual
KENNEDY G SANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HALLORAN DRIVE, ST CLAIRSVILLE, OH 43950
(740) 296-5743
(740) 296-5952
Mailing address
214 THORN AVE, MOUNDSVILLE, WV 26041-1249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/25/2024
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