Individual
CASEY LARAE CASSETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
661 31W BYPASS, SUITE G, BOWLING GREEN, KY 42104-4968
(364) 203-8188
(949) 437-3743
Mailing address
661 31W BYPASS, SUITE G, BOWLING GREEN, KY 42104-4968
(270) 779-3490
(949) 437-3743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253613
KY
1041C0700X
Clinical Social Worker
7362
KY
Other
Enumeration date
09/24/2015
Last updated
05/16/2024
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