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Individual
ROGER JOHN CASEY JR.
Active
Individual
ROGER JOHN CASEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304448
MN
2255A2300X
Athletic Trainer
1109
MN
Other
Enumeration date
02/12/2013
Last updated
05/18/2016
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