KEONNA FUQUA

MANSFIELD, OH
NPI1871121699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-03-28
Last Update Date2024-04-23
Business Address
KEONNA FUQUA
1033 LARCHWOOD RD
MANSFIELD, OH 44907-2424
Phone number: 419-747-4122
Mailing Address
KEONNA FUQUA
1915 FOUNTAINVIEW CT
COLUMBUS, OH 43232-2111
Phone number: