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Individual

MR. MARK KEKOA CASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
220 S. 3RD PLACE, RENTON, WA 98057-2494
(425) 228-0074
Mailing address
220 S. 3RD PLACE, RENTON, WA 98057-2494
(425) 228-0074

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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