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Individual

MISS CASSANDRA GOULDTHREAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1759 TREASURE LK, DU BOIS, PA 15801-9046
(814) 771-1343
Mailing address
54 BLACKBERRY ST, WEEDVILLE, PA 15868-3510
(814) 771-1343

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133130
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841289733
UBH
PA
Enumeration date
02/12/2016
Last updated
11/03/2022
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