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Individual

CASEY MCCARTHY I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7760
(303) 504-7790
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7760
(303) 504-7790

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO

Other

Enumeration date
03/09/2016
Last updated
03/09/2016
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