Individual
MS. CASEY CLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 OHIO ST, LEIPSIC, OH 45856-1452
(440) 892-9313
Mailing address
501 OHIO ST, LEIPSIC, OH 45856-1452
(440) 892-9313
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2575708
—
OH
Enumeration date
06/30/2008
Last updated
06/30/2008
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