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Individual

STEPHEN CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, LICSW

Contact information

Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 430-2720
(651) 351-3155
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300277
MN
104100000X
Social Worker
Primary
12096
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1044849
P1
MN
01
106221
UC
MN
01
50648
HP
MN
01
57422KU
BCBS
MN
01
84-61062
UBH
MN
Enumeration date
07/26/2006
Last updated
09/11/2025
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