Individual
MISS KASSANDRA MARIE GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442
(231) 724-3117
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-3117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801101713
MI
Other
Enumeration date
01/22/2018
Last updated
07/16/2018
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