Most Relevant Information
Provider Data
| NPI Number: | 1003563099 |
| Provider Name: | ZACHARIAH ALOYSIUS CASWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2022 |
| Last Updated: | 03/09/2022 |
Provider Practice Location
612 E DIXIE AVE
ELIZABETHTOWN
KY
427011077
Practice Location Phone/Fax
| Phone: | 2703001351 |
| Fax: |
Provider Mailing Location
612 E DIXIE AVE
ELIZABETHTOWN
KY
427011077
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |