Individual
ANNALISSA CASAUCAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(916) 555-5555
Mailing address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(707) 478-1424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2015
Last updated
10/27/2015
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