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MS. JACQUELINE MARY CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1611 COUNTY ROAD B W, SUITE 212, ROSEVILLE, MN 55113-5021
(651) 433-5505
(651) 348-8349
Mailing address
1611 COUNTY ROAD B W, SUITE 212, ROSEVILLE, MN 55113-5021
(651) 433-5505
(651) 348-8349

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301494
MN

Other

Enumeration date
04/22/2014
Last updated
04/22/2014
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