Wilson, Cassandra Susann
Wilson, Cassandra Susann is an sole proprietor health care provider with primary practice located at 10828 Gravelly Lake Dr. Sw Suite 204, Lakewood WA 98499. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Cassandra Susann can be contacted via phone (253) 473-7474.Contact Information
Primary practice address
10828 Gravelly Lake Dr. Sw Suite 204
Lakewood WA 98499
Phone: (253) 473-7474
Fax: (253) 474-9724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60316800 | Washington |
Profile Details
| NPI number | 1174955629 |
|---|---|
| LBN Legal business name | Wilson, Cassandra Susann |
| Credentials | CDPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Aug 7th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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