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Individual

DR. ROSALIE A. CASANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3531 LAKELAND DR, #B, SUITE 1040, FLOWOOD, MS 39232-8839
(601) 955-3388
Mailing address
3531 LAKELAND DR, #B, SUITE 1040, FLOWOOD, MS 39232-8839
(601) 955-3388

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12097
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118583
MS
01
12097
STATE LICENSE
MS
Enumeration date
07/06/2006
Last updated
03/31/2009
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