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Individual

MRS. CASEY BIANCUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
915 PAIGE LN, O FALLON, IL 62269-6852
(618) 698-6226
Mailing address
915 PAIGE LN, O FALLON, IL 62269-6852
(618) 698-6226

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149026895
IL

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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