Individual
MARY CASEY LADD
Active
Individual
MARY CASEY LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4937
MN
106H00000X
Marriage & Family Therapist
293
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081757100
—
MN
Enumeration date
12/29/2006
Last updated
09/15/2014
Update your record
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