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Individual

CASSANDRA L MYSKIW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW, LMAC

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4363

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
353
KS
1041C0700X
Clinical Social Worker
Primary
06267
KS

Other

Enumeration date
07/31/2017
Last updated
06/14/2024
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