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Individual
MRS. JUDITH S CASSARA
Active
Individual
MRS. JUDITH S CASSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326155458
DMH BROCKTON AGENCY #
—
01
—
PO3537CA
BLUECROSS/BLUE SHEILD
MA
Enumeration date
10/02/2006
Last updated
07/08/2007
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