Marissa Underwood

NPI #1366185647 in Kenton, Ohio

Provider Information

NPI Number: 1366185647
Entity Type: Individual
Name: Marissa Underwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 15, 2022
Last Updated: Apr 15, 2022

Practice Location

Address: 775 E ELIZA ST
City: Kenton
State: Ohio
ZIP Code: 43326-1486
Phone: (913) 707-8176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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