Individual
CASEY C PERSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 NE 14TH ST, WASHINGTON, IN 47501-2137
(812) 254-2250
(812) 254-7884
Mailing address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
(812) 257-8602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
934562
IN
Other
Enumeration date
07/26/2007
Last updated
07/29/2011
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