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Individual

CASEY THEISEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CPHT

Contact information

Practice address
622 E GRAND RIVER AVE, HOWELL, MI 48843-2329
(517) 548-0081
(517) 548-0498
Mailing address
622 E GRAND RIVER AVE, HOWELL, MI 48843-2329
(517) 548-0081
(517) 548-0498

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851119159
MI
183700000X
Pharmacy Technician
5303024432
MI
374J00000X
Doula
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5303024432
PHARMACY
MI
01
6851119159
MSW LICENSE
MI
Enumeration date
12/26/2022
Last updated
07/29/2025
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