Individual
MIKALA CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4799 N OLD STATE ROAD 37, BLOOMINGTON, IN 47408-9261
(417) 540-0571
Mailing address
4799 N OLD STATE ROAD 37, BLOOMINGTON, IN 47408-9261
(417) 540-0571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33010466A
IN
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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