Individual
MISS CASSANDRA JO CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
413 S LOGAN BLVD STE 3, ALTOONA, PA 16602-5643
(814) 201-2750
(814) 201-2383
Mailing address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142103
PA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW142103
STATE BOARD OF SOCIAL WORKERS, MARRIAGE & FAMILY THERAPISTS AND PROFESSIONAL COU
PA
Enumeration date
06/18/2018
Last updated
11/15/2024
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