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Individual
KASANDRA PHEARSON
Active
Individual
KASANDRA PHEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
202000354
OR
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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