Individual
CLYDE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 UNIVERSITY BLVD E, HYATTSVILLE, MD 20783-4029
(301) 434-4890
(301) 434-4896
Mailing address
1401 UNIVERSITY BLVD E, HYATTSVILLE, MD 20783-4029
(301) 434-4890
(301) 434-4896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA434
MD
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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