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Individual
CASEY DELPHINE SORRELL
Active
Individual
CASEY DELPHINE SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-33004
MT
390200000X
Student in an Organized Health Care Education/Training Program
BBH-ACLC-LIC-33004
MT
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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