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Individual
MRS. MAUREEN ELAINE KASSOF
Active
Individual
MRS. MAUREEN ELAINE KASSOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
1688077
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704080390
MI
Other
Enumeration date
12/04/2006
Last updated
01/17/2017
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