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Individual

DR. JESSIE L CASSADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., F-AAA

Contact information

Practice address
44 BIRCH ST STE 304A, DERRY, NH 03038-2752
(603) 432-8104
Mailing address
44 BIRCH ST, STE 304, DERRY, NH 03038-2752
(603) 880-0090

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
8052577
VT
231H00000X
Audiologist
998
MA
231H00000X
Audiologist
Primary
A587
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022109
VT
05
110094374A
MA
Enumeration date
07/06/2010
Last updated
04/17/2019
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