Individual
CASIE KANSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
801 DOUGLAS AVE, SUITE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
Mailing address
400 W UNIVERSITY AVE, DELAND, FL 32720-3341
(407) 284-5026
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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