Individual
MIRANDA LYNNZEY CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6 OFFICE PARK CIR STE 304, MOUNTAIN BRK, AL 35223-2786
(205) 883-9736
Mailing address
335 EDGEVIEW AVE, TRUSSVILLE, AL 35173-1224
(256) 504-5921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4583C
AL
Other
Enumeration date
10/29/2019
Last updated
03/10/2023
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