Individual
BROOKE MICHAEL CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 HALL AVE, SOMERVILLE, MA 02144-2003
(617) 623-3278
Mailing address
5 HALL AVE, SOMERVILLE, MA 02144-2003
(617) 623-3278
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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