Individual
MRS. KA CASSANDRA THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 MELROSE ST APT 1, FITCHBURG, MA 01420-6503
(978) 353-9446
Mailing address
340 MAIN ST STE 818, WORCESTER, MA 01608-1692
(508) 791-4976
(508) 398-4659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S79883471
DRIVER LICENSE
MA
Enumeration date
12/07/2011
Last updated
12/07/2011
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