Individual
MISS CASSANDRA JOAN TAVERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500
Mailing address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010781
NC
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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