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Individual

CASEY CAREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1253
Mailing address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
253839
KY

Other

Enumeration date
02/07/2022
Last updated
02/07/2022
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