Individual
TALLIE CASSANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BROADWAY AVE STE 113, YANKTON, SD 57078-2836
(605) 205-8899
Mailing address
103 JAMES PL, YANKTON, SD 57078-1729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3381
SD
Other
Enumeration date
02/27/2023
Last updated
03/13/2024
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