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Organization
ANDREA CASEY, PH.D., L.P., PLLC
Active
Organization
ANDREA CASEY, PH.D., L.P., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CASEY PH.D. (MEMBER)
(810) 750-5093
Entity
Organization
Contact information
Practice address
119 S LEROY ST, C/O HOPE COUNSELING CENTER, FENTON, MI 48430-2637
(810) 516-0615
Mailing address
4370 ISLAND VIEW DR, FENTON, MI 48430-9145
(810) 750-5093
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301008470
MI
Other
Enumeration date
03/20/2015
Last updated
03/30/2015
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