Individual
GRACE M. CASIANO-BETANCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1551 FORUM PL, SUITE 400 D&E, WEST PALM BEACH, FL 33401-2319
(561) 616-8411
Mailing address
1551 FORUM PL, SUITE 400D&E, WEST PALM BEACH, FL 33401-2319
(561) 616-8411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/02/2013
Last updated
02/10/2015
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