Individual
CASEY A SITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Mailing address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34008865A
—
IN
Enumeration date
06/26/2020
Last updated
06/26/2020
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