Individual
CAVELL CASSIAN MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 VESPER LN, NANTUCKET, MA 02554-4394
(774) 812-8090
Mailing address
20 VESPER LN, NANTUCKET, MA 02554-4394
(774) 812-8090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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