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Individual

CASSANDRA ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASTER OF SCIENCE

Contact information

Practice address
242 S JONES ST, FORT VALLEY, GA 31030-4620
(478) 396-0207
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215934773
GA
Enumeration date
11/05/2018
Last updated
03/02/2024
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