Individual
CASEY JAY VANDERSNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 DAVIS AVE, CORNING, IA 50841-1420
(641) 322-5424
Mailing address
234 MYRTLE ST, CRESTON, IA 50801-3011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
133492
IA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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