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Individual

MRS. CARLEY JO CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, MPH

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2014030531
MO
104100000X
Social Worker
M8049
MS

Other

Enumeration date
03/31/2015
Last updated
03/31/2015
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