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Individual
MRS. MIRISA NICOLE CASTELLESE
Active
Individual
MRS. MIRISA NICOLE CASTELLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165187
OH
104100000X
Social Worker
S.1904404
OH
1041C0700X
Clinical Social Worker
Primary
I.2507343
OH
Other
Enumeration date
12/20/2017
Last updated
10/27/2025
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