Individual
CASEY HAUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6821 JEFFERSON ST NE, FRIDLEY, MN 55432-4448
(952) 913-1086
Mailing address
6821 JEFFERSON ST NE, FRIDLEY, MN 55432-4448
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14722
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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