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Individual

CASSONDRA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 519-5828
Mailing address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 519-5828

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101097
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/04/2016
Last updated
01/25/2021
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