Provider Demographics
NPI:1730517673
Name:DULD, CASEY (CGC, MGC)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:
Last Name:DULD
Suffix:
Gender:F
Credentials:CGC, MGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 S HANOVER ST
Mailing Address - Street 2:STE. NA 112
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1233
Mailing Address - Country:US
Mailing Address - Phone:410-350-2326
Mailing Address - Fax:410-354-2648
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:STE. NA 112
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-350-2326
Practice Address - Fax:410-354-2648
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS