# MISS CASSANDRA GOULDTHREAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841659398
- **Gender:** F
- **Credential:** LSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW133130 | PA | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 11/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841289733 | UBH | PA |