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Individual

MR. CASEY CONSTABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
57 PARK TER E APT B66, NEW YORK, NY 10034-1486
(713) 732-0034
Mailing address
57 PARK TER E APT B66, NEW YORK, NY 10034-1486

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103607
NY

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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