Individual
DAISY CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 FAIRFIELD CIR, FAIRFIELD, OH 45014-2901
(513) 292-1249
Mailing address
4921 FAIRFIELD CIR, FAIRFIELD, OH 45014-2901
(513) 292-1249
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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