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Individual

DR. BRANDY CASANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, DBH

Contact information

Practice address
35 ACADEMY ST, LACONIA, NH 03246-3606
(603) 556-4360
Mailing address
6323 MONITOR DR, INDIANAPOLIS, IN 46220-4557
(623) 521-0361

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
06/03/2022
Last updated
06/03/2022
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