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Individual

CASEY CLAIRE ROSE NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 UNIVERSITY AVE W STE 20, SAINT PAUL, MN 55104-4747
(612) 373-9160
Mailing address
1000 UNIVERSITY AVE W STE 20, SAINT PAUL, MN 55104-4747

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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