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Individual

CASSANDRA HERBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN/PMH-BC

Contact information

Practice address
5026 DORSEY HALL DR, SUITE 205, ELLICOTT CITY, MD 21042-7852
(410) 415-1454
Mailing address
3756 ANGELTON CT, BURTONSVILLE, MD 20866-2059

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R148305
MD
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R148305
MD

Other

Enumeration date
04/04/2011
Last updated
12/04/2012
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