Individual
CASSANDRA RENE COLOSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2734 OAK RIDGE CT, FORT MYERS, FL 33901-9369
(239) 963-4367
Mailing address
2734 OAK RIDGE CT, FORT MYERS, FL 33901-9369
(239) 963-4367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/12/2017
Last updated
05/24/2022
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