Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801016920 | MI |
NPI | 1003080888 |
---|---|
Provider Name | Josephine Carmel Cassar |
First Address | Benton Harbor, MI 49022-6753 |
Second Address | Benton Harbor, MI 49022-6753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 14/04/2008 |