Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003045717 |
---|---|
Provider Name | Julie Cassell |
First Address | Bronx, NY 10452-1851 |
Second Address | Bronx, NY 10452-1851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 08/09/2010 |