Individual
CASEY LYNN VENDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 STAFFORD ROAD, BARSTOW, MD 20610
(410) 535-4300
Mailing address
12596 CATALINA DR, LUSBY, MD 20657-4429
(443) 684-9070
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CEP821053299
BCBS
MD
Enumeration date
08/30/2019
Last updated
08/30/2019
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