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Individual

CASSIDY LYNNE BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
614 MANOR DR, NEWARK, OH 43055-2136
(740) 641-1790
Mailing address
614 MANOR DR, NEWARK, OH 43055-2136
(740) 641-1790

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
OH
376J00000X
Homemaker
Primary
OH

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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