Provider Information for 1558933002
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JEAN CASERTA MS LMFT
Sex: Female
NPI: 1558933002
Last Updated: 2021-07-14
Certification Date: 2021-07-07
Certification Date: 2021-07-07
Details
| Name | Value | ||||||||
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| NPI | 1558933002 | ||||||||
| Enumeration Date | 2021-07-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 250 CONGRESS PARK DR APT 142 DELRAY BEACH, FL 33445-4726 United States Phone: 954-415-9852 | Fax: | ||||||||
| Primary Practice Address | 250 CONGRESS PARK DR APT 142 DELRAY BEACH, FL 33445-4726 United States Phone: 954-415-9852 | Fax: | ||||||||
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