Individual
JILL CASAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MERRILL AVE, SALEM, NH 03079-2729
(603) 327-0307
Mailing address
21 MERRILL AVE, SALEM, NH 03079-2729
(603) 327-0307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/14/2020
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