Individual
CASANDRA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 489-4547
(813) 381-5140
Mailing address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 489-4547
(813) 381-5140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 12768
FL
171M00000X
Case Manager/Care Coordinator
CBHCMS100611
FL
Other
Enumeration date
10/03/2014
Last updated
02/10/2022
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