Kassandra Mitchum
Kassandra Mitchum is a Social Worker in Fair Lawn, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
16-01 BroadwayFair Lawn, NJ 07410-2026
Phone: (201) 797-0001
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1740914100 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2022 |
| Last updated in NPPES | July 12, 2022 |
| Certification date | July 12, 2022 |
| Mailing address | 16-01 Broadway, Fair Lawn, NJ 07410-2026 |
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