Individual
ROBERTA LORRAINE CASADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 BEAN AVE, MORA, MN 55051-1402
(281) 491-3086
Mailing address
206 MAPLE AVE E, MORA, MN 55051-1311
(320) 679-3580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302270
MN
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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