Individual
MISS CASSANDRA MAGNUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 430-4226
Mailing address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(631) 855-0885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127369
NY
Other
Enumeration date
09/13/2023
Last updated
05/29/2025
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