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Individual

MISS LEAH BRIANNE CASSELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.N.

Contact information

Practice address
3508 S LIVE OAK DR, MONCKS CORNER, SC 29461-8737
(843) 958-2590
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(842) 727-2440

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2231
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DT1213
SC
Enumeration date
12/15/2010
Last updated
03/12/2026
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