Individual
MARY COLLEEN CASADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
(417) 865-6258
Mailing address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
(417) 865-6258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002845
MO
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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