Individual
MISS CASMIRA KOSTIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226113
MA
104100000X
Social Worker
CSW02550
RI
1041C0700X
Clinical Social Worker
125794
MA
Other
Enumeration date
05/25/2021
Last updated
05/21/2026
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