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Individual
MISS KARISA ELIZABETH NASTOS
Active
Individual
MISS KARISA ELIZABETH NASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25315
MD
1041C0700X
Clinical Social Worker
Primary
23515
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K-252-461-210-871
DRIVER'S LICENSE
MD
Enumeration date
09/05/2019
Last updated
01/02/2024
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