Individual
CASEY JOHN WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
9600 VETERANS DR, TACOMA, WA 98493
(253) 583-1763
Mailing address
2834 CALAIS LANE NW, OLYMPIA, WA 98502
(360) 866-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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