Individual
ANDREA J MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 KIENLE DR, APT 2A, PIQUA, OH 45356
(937) 381-7908
Mailing address
302 WEST MAIN STREET, FLETCHER, OH 45326
(937) 541-8552
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/08/2024
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