Individual
CASEY MARIA ROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 S MADISON ST, WAUPUN, WI 53963-2000
(920) 324-7272
Mailing address
126 MARY ANN RD APT 2, BEAVER DAM, WI 53916-3136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4082-57
WI
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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