Individual
DAWN DENISE BURNS CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 GOODMAN RD STE B, OLIVE BRANCH, MS 38654-7002
(901) 218-8117
(662) 893-1102
Mailing address
1573 SEA ISLE RD, MEMPHIS, TN 38117-6951
(901) 685-6149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5963
MS
1041C0700X
Clinical Social Worker
LSW0000004493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09207046
—
MS
Enumeration date
01/25/2007
Last updated
07/09/2007
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