Individual
CASANDRA ELAINE THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1003 W 7TH ST, FREDERICK, MD 21701-4106
(301) 345-1022
(301) 560-5558
Mailing address
7474 GREENWAY CENTER DR, GREENBELT, MD 20770-3504
(301) 345-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22743
MD
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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