Individual
MR. MARK KEKOA CASEY
Active
Individual
MR. MARK KEKOA CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1797-C
AR
1041C0700X
Clinical Social Worker
2004011463
MO
1041C0700X
Clinical Social Worker
2795
OK
1041C0700X
Clinical Social Worker
Primary
LW 00009576
WA
1041C0700X
Clinical Social Worker
SW 6186
FL
Other
Enumeration date
05/08/2007
Last updated
12/02/2011
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