Cassandra Delia Underwood, LICSW
Social Worker, Clinical in Dayton, MN. Individual provider (NPI-1).
NPI number1831854652
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1831854652
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Delia Underwood
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 23891 | MN | Yes |
Practice location
11900 Blue Spruce CtDayton, MN 55327-4101
Phone 651-214-6430
Mailing address
11900 Blue Spruce CtDayton, MN 55327-4101
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