Individual
MRS. PAULA CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-0002663
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10830193619
—
DE
Enumeration date
10/29/2014
Last updated
02/03/2016
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