MEDICARE: CASSANDRA SPINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1205262813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA SPINA

Provider Business Mailing Address
First Line	:	188 NORTH RD
Second Line	:
City	:	SANDOWN
State	:	NH
Zip	:	03873-2059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 NORTH RD
Second Line	:
City	:	SANDOWN
State	:	NH
Zip	:	03873-2059
Country	:	US
Telephone Number	:	978-378-0483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2013
Last Update Date	:	10/17/2022

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Directions to “ CASSANDRA SPINA ” Practice Location

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